Individual provider · Type 1 NPI

Camille Elisa Anderson, LPC

Professional Counselor · Portland, OR

NPI number 1366875601 Active

Practice location

4856 NE Prescott St
Portland, OR 97218-1751

Other practice locations

  • 200 N Spring St, Tupelo, MS 38804-3924 · (662) 371-1711
  • 202 Enterprise Dr, Oxford, MS 38655-2761 · (662) 371-1711

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X14862 (NC)
Mental Health Counselor 101YM0800XNone listed
Counselor 101Y00000X8008 (TN)
Professional Counselor Primary 101YP2500XC8053 (OR)
Counselor 101Y00000XTPMC4949 (FL)
Counselor 101Y00000X2162 (MS)
Counselor 101Y00000XC8053 (OR)

Professional Counselor: Definition to come...

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About NPI 1366875601

Camille Elisa Anderson, LPC's National Provider Identifier is 1366875601, issued on Aug 9, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Oct 10, 2025.