| Doctor Name: | JUNIPER CAMPBELL |
| NPI Number: | 1700222122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 13772 |
| Business Practice Address: | 120 N Old Pumphouse Rd Cornville, AZ - 863255706 |
| Business Phone Number: | 9282540113 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3201, SEDONA |
| State: | AZ |
| Postal Code: | 863403201 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2013 |
| NPI Last Update Date: | 04/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 13772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |