Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CSW .09924248 | CO |
NPI | 1003196767 |
---|---|
Provider Name | Cameron C James |
First Address | Thornton, CO 80260-6806 |
Second Address | Thornton, CO 80260-6806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2011 |
Last Update Date | 16/11/2016 |