Provider Demographics
NPI:1457699878
Name:CAMELLO, ERICA (LMFT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:CAMELLO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:D'AMBROSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:371 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-3317
Mailing Address - Country:US
Mailing Address - Phone:310-832-8342
Mailing Address - Fax:
Practice Address - Street 1:2081 PALOS VERDES DR N
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-3701
Practice Address - Country:US
Practice Address - Phone:424-251-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health