Most Relevant Information
Provider Data
| NPI Number: | 1003417098 |
| Provider Name: | IRMA LIZETH CAMARENA WEST MSCP, AMFT, APCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 8429 |
Most Important Dates
| Enumeration Date: | 11/05/2020 |
| Last Updated: | 11/05/2020 |
Provider Practice Location
1303 SAN CARLOS AVE
SAN CARLOS
CA
940702317
Practice Location Phone/Fax
| Phone: | 6507626062 |
| Fax: |
Provider Mailing Location
PO BOX 483
EL GRANADA
CA
940180483
Provider Mailing Phone/Fax
| Phone: | 6507626062 |
| Fax: |