Individual provider · Type 1 NPI
Camryn Denham-Fairley
Professional Counselor · Shreveport, LA
NPI number
1750892006
Active
Practice location
8501 Millicent Way Apt 1088
Shreveport, LA 71115-2231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor Primary | 101YP2500X | 7072 (LA) |
Professional Counselor: Definition to come...
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About NPI 1750892006
Camryn Denham-Fairley's National Provider Identifier is 1750892006, issued on Oct 13, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Mar 17, 2025.