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Individual
KRISTA KAY CAMPBELL
Active
Individual
KRISTA KAY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
154008
CA
390200000X
Student in an Organized Health Care Education/Training Program
103290
CA
Other
Enumeration date
11/28/2023
Last updated
03/18/2025
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