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

Camille Derose, LPC

Individual provider Mental Health Counselor · NPI 1659887230

Camille Derose, LPC is a Mental Health Counselor in Havertown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1105 Wilson Dr
Havertown, PA 19083-5216
Phone: (610) 304-8347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence PC-007701 (PA)

Record details

NPI number1659887230
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing address1105 Wilson Dr, Havertown, PA 19083-5216

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