# CAMILLE CAMPBELL A MARRIAGE AND FAMILY THERAPY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Camille Campbell Psychotherapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467072314
- **Authorized official:** CAMILLE CAMPBELL MFT (PRESIDENT)
- **Authorized official phone:** (424) 279-8336

## Contact information

- **Practice address:** 8170 BEVERLY BLVD STE 203, LOS ANGELES, CA 90048-4532
- **Practice address phone:** (310) 897-0974
- **Mailing address:** 14470 GLORIETTA DR, SHERMAN OAKS, CA 91423-4539
- **Mailing address phone:** (310) 897-0974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 04/21/2020