Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CO60519472 | WA |
N | 101YS0200X | School Counselor |
NPI | 1053848036 |
---|---|
Provider Name | Ms. Camisha Mechelle Hammons |
First Address | University Place, WA 98466-3834 |
Second Address | University Place, WA 98466-3834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2017 |
Last Update Date | 19/03/2019 |