Provider Demographics
NPI:1053696559
Name:CAMERON, MEGAN E (MFT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:CAMERON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:E
Other - Last Name:DURKEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:975 KINGSVIEW DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8336
Mailing Address - Country:US
Mailing Address - Phone:513-228-7800
Mailing Address - Fax:513-228-7848
Practice Address - Street 1:204 COOK RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9600
Practice Address - Country:US
Practice Address - Phone:513-934-7119
Practice Address - Fax:513-695-2952
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF-1400003106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist