Provider Demographics
NPI:1740167014
Name:HUGHES, CAMILLE ABERNATHY
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:ABERNATHY
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 OASIS RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-0307
Mailing Address - Country:US
Mailing Address - Phone:530-275-5480
Mailing Address - Fax:
Practice Address - Street 1:3711 OASIS RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-0307
Practice Address - Country:US
Practice Address - Phone:530-275-5480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250050872101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool