Male or Other

Dr. Jack E. Camilleri ED.D.,LPC & LMFT

Full Name

Dr. Jack E Camilleri ED.D.,LPC & LMFT

NPI Number

1073689493

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/28/2006

Specialties

(Taxonomies)

Code

106H00000X
101YM0800X

Primary Taxonomy

No
No

Licenses

State

Alabama
Alabama

License Number

LMFT 154
AL626

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3116
28311 N MAIN ST

City

Daphne
Daphne

State

AL
AL

Postal Code

36526-3116
36526-7074

Country

US
US

Telephone Number

(251) 625-1480
(251) 625-1480

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address