Individual
MS. CASSIE MICHELLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
415 LAUREL ST # 3113, SAN DIEGO, CA 92101-1605
(951) 531-3367
Mailing address
236 PROVIDENCE FARM DR, BOILING SPRINGS, SC 29316-7469
(951) 531-3367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7212
CA
101YM0800X
Mental Health Counselor
73146
TX
101YP2500X
Professional Counselor
Primary
7212
CA
Other
Enumeration date
06/12/2019
Last updated
03/05/2026
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