Doctor Name: | YOLANDA PHYLICIA CAMPBELL |
NPI Number: | 1013201797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC006407 |
Business Practice Address: | 2121a Bellevue Rd Dublin, GA - 310212998 |
Business Phone Number: | 4782721190 |
Business Fax Number: | 4782756649 |
Mailing Address: | 2121a Bellevue Rd, DUBLIN |
State: | GA |
Postal Code: | 310212998 |
Phone Number: | 4782721190 |
Fax Number: | 4782756649 |
NPI Enumeration Date: | 05/31/2011 |
NPI Last Update Date: | 05/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC006407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |