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