Provider Demographics
NPI:1316170467
Name:REICH, CAMILLE LYNN (MS)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:LYNN
Last Name:REICH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8310 S VALLEY HWY
Mailing Address - Street 2:#120
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5812
Mailing Address - Country:US
Mailing Address - Phone:303-807-3492
Mailing Address - Fax:
Practice Address - Street 1:8310 S VALLEY HWY
Practice Address - Street 2:#120
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5812
Practice Address - Country:US
Practice Address - Phone:303-807-3492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor