Search › Illinois › 122300000X
Luis Miron Carcamo
NPI 1962790006 · on the registry since 2011
Practice
- Address
- 1701 S Prospect Ave Ste 201
Champaign, IL 61820 - Phone
- (217) 305-7980
- Organisation at this address
- Jamie Stevens Counseling Group Pllc
Jim Hamilton Counseling And Therapy CompanyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 1515 E Columbia St, Othello, WA
- 1051 Columbia Ave, Connell, WA
- 601 Government Rd, Mattawa, WA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- WA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois