Doctor Name: | KARLA CAMPBELL |
NPI Number: | 1205160348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LH60116873 |
Business Practice Address: | 15118 Main St Mill Creek, WA - 980121653 |
Business Phone Number: | 4252138371 |
Business Fax Number: | 4253570780 |
Mailing Address: | 15520 63rd Dr Se, SNOHOMISH |
State: | WA |
Postal Code: | 982964228 |
Phone Number: | 4252138371 |
Fax Number: | 4253570780 |
NPI Enumeration Date: | 09/22/2009 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH60116873 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |