Cameron Mackilligan
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lynchburg, VA
NPI 1639960065 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1639960065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0709026274 (VA)
- Practice address
- 4000 Murray PL
Lynchburg, VA 24501-5004 - Phone
- (434) 439-3283
- Fax
- (434) 818-0943
- NPI assigned
- May 15, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 0709026274 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Treatment Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0709026274 | VA | Yes |
Addresses
Primary practice location
4000 Murray PL
Lynchburg, VA 24501-5004
Mailing address
4000 Murray PL
Lynchburg, VA 24501-5004
Phone (434) 439-3283
Other providers in Lynchburg, VA
- Lori Macasa
- Cecilia Maribee Maccallum
- Michael Maccormac
- Erin Sheetz Mace
- Mark Douglas Macgregor
- John Leach Macneill Jr.
- Bradley Scott Maddox
- Debra M Maddox
- Riley Elizabeth Maddox
- Kirsten Madea
All providers in Lynchburg, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. 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.