Individual
MR. GABRIEL DYLAN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
3801 LAKE BOONE TRL, RALEIGH, NC 27607-2934
(919) 784-9182
Mailing address
109 BROOK HOLLOW CT, CARY, NC 27513-4932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4558
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103011
—
NC
Enumeration date
11/15/2006
Last updated
07/08/2007
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