Doctor Name: | MRS. AMY PATTON CAMPBELL |
NPI Number: | 1003039546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LH00010420 |
Business Practice Address: | 1030 N Center Pkwy Ste 320 Kennewick, WA - 993367160 |
Business Phone Number: | 5097355081 |
Business Fax Number: | 5092222223 |
Mailing Address: | 1030 N Center Pkwy Ste 320, KENNEWICK |
State: | WA |
Postal Code: | 993367160 |
Phone Number: | 5097355081 |
Fax Number: | 5092222223 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00010420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |