Provider Demographics
NPI:1922980754
Name:SIEBOR, CAMERON BRINKLEY BOWEN (LCMHCA)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:BRINKLEY BOWEN
Last Name:SIEBOR
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:CAMERON
Other - Middle Name:BRINKLEY
Other - Last Name:BOWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:231 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5029
Mailing Address - Country:US
Mailing Address - Phone:252-321-8080
Mailing Address - Fax:252-321-7999
Practice Address - Street 1:231 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5029
Practice Address - Country:US
Practice Address - Phone:252-321-8080
Practice Address - Fax:252-321-7999
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health