Provider Demographics
NPI:1215630835
Name:BURNS, CAMERON (LPC , MS)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:BURNS
Suffix:
Gender:M
Credentials:LPC , MS
Other - Prefix:
Other - First Name:CAMERON
Other - Middle Name:D
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, MS
Mailing Address - Street 1:4349 CARLISLE PIKE
Mailing Address - Street 2:STE 101
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4252
Mailing Address - Country:US
Mailing Address - Phone:717-775-3380
Mailing Address - Fax:717-775-3382
Practice Address - Street 1:4349 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4252
Practice Address - Country:US
Practice Address - Phone:717-775-3380
Practice Address - Fax:717-775-3382
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015485101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health