Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cameron Park Rehab

Organization Addiction (Substance Use Disorder) Counselor · NPI 1770294928

Cameron Park Rehab is an Addiction (Substance Use Disorder) Counselor in Cameron Park, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4

Practice location Address checks out

4120 Cameron Park Dr Ste 403
Cameron Park, CA 95682-7287
Phone: (310) 343-8684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1770294928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaina Donner — Manager · (310) 343-8684
NPI enumeratedDecember 8, 2022
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address4120 Cameron Park Dr Ste 403, Cameron Park, CA 95682-7287

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