Doctor Name: | DR. CHRISTINE NONE CAMPBELL |
NPI Number: | 1487786885 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P. |
License Number: | PSY12882 |
Business Practice Address: | 1505 Bridgeway Suite 112 Sausalito, CA - 949651966 |
Business Phone Number: | 4153318064 |
Business Fax Number: | 4153318064 |
Mailing Address: | 1505 Bridgeway, Suite 112 SAUSALITO |
State: | CA |
Postal Code: | 949651966 |
Phone Number: | 4153318064 |
Fax Number: | 4153318064 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PSY12882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |