person
Mr. Ray Edward Cammack, MED,LCPC
Mental Health Counselor in Boise, Idaho
NPI 1528055399

Ray Edward Cammack is a Mental Health Counselor based in Boise, ID and is specialized in Mental Health. Ray Edward Cammack practices in Boise, ID and has the professional credentials of MED,LCPC. The NPI Number for Ray Edward Cammack is 1528055399 and holds a License No. LCPC-3129 (Idaho).

The current practice location address for Ray Edward Cammack is 5420 W Franklin Rd, Boise, ID and can be reached out via phone at 208-420-5380.

Location: 5420 W Franklin Rd, Boise, ID, 83705-1071
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Provider Profile Details
NPI Number
1528055399
Provider Name
Ray Edward Cammack
Credential
MED,LCPC
Provider Entity Type
Individual
Gender
Male
Address
5420 W Franklin Rd, Boise, ID, 83705-1071
Phone Number
208-420-5380
Fax Number
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861500035 05 ID
institution
Provider Business Practice Location Address Details
Address
5420 W Franklin Rd
City
State
Zip
83705-1071
Phone Number
208-420-5380
Fax Number
person
Provider Business Mailing Address Details
Address
5420 W Franklin Rd
City
State
Zip
83705-1071
Phone Number
208-420-5380
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-3129 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-3129 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
LCPC-3129 (Idaho)
Definition
Definition to come...
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