Provider Information for 1003466194
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CAMERON REIS MS, LMFT
Sex: Male
NPI: 1003466194
Last Updated: 2019-09-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1003466194 | ||||||||
| Enumeration Date | 2019-09-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 360 GREENMEADOW AVE NEWBURY PARK, CA 91320-4149 United States Phone: 805-222-6155 | Fax: | ||||||||
| Primary Practice Address | 2660 TOWNSGATE RD STE 520 WESTLAKE VILLAGE, CA 91361-5712 United States Phone: 805-222-6155 | Fax: | ||||||||
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