Jennifer Brooke Camareno, MFT
Individual provider Active NPI Marriage & Family Therapist · Eagle, ID
NPI 1174876569 · NPPES record last updated Jun 3, 2023
Key facts
- NPI
- 1174876569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT-8238 (ID)
- Practice address
- 325 E Shore Dr Ste 120
Eagle, ID 83616-6584 - Phone
- (208) 464-8806
- NPI assigned
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT90338 | CA | MD | Marriage & Family Therapist |
| MFT-8238 | ID | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT90338 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT-8238 | ID | Yes |
Addresses
Primary practice location
325 E Shore Dr Ste 120
Eagle, ID 83616-6584
Mailing address
650 Sierra Madre Villa Ave Ste 110
Pasadena, CA 91107-2000
Phone (626) 351-9616
Other providers in Eagle, ID
- Kristen Burris
- Joshua Bynum
- C&a Healthcare PLLC
- Taylor Michael Cahill-Therrien
- Spencer Reid Calhoun
- Isabelle Campbell
- Matthew R Candau
- Jessica Brianne Capell
- Care Medical Housecalls PC
- Careconnectmd Idaho PC
All providers in Eagle, ID · Marriage & Family Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.