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EARTHA J CAMON NPI 1356649164


NPI Information

NPI: 1356649164
Provider Name: EARTHA J CAMON

Doing Business As: RUD COUNSELING & PSYCHOTHERAPY

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3015 MEDLIN DR
SUITE 300
ARLINGTON, TX
ZIP 76015
Phone: (817) 466-4450
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EARTHA J CAMON is a professional counselor in Arlington, TX. EARTHA J CAMON NPI is 1356649164. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rud Counseling & Psychotherapy.

The provider's business location address is:

3015 MEDLIN DR
SUITE 300
ARLINGTON, TX
ZIP 76015-360
Phone: (817) 466-4450
Fax: (817) 423-7706

The provider's authorized official is Eartha J Camon .
The authorized official title is Psychotherapist and has the following contact phone number (817) 466-4450.

The enumeration date for this NPI number is 3/2/2011 and was last updated on 3/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1027934101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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