Individual
AVERY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 LOMO ALTO DR, DALLAS, TX 75225-6530
(214) 351-0053
Mailing address
8100 LOMO ALTO DR, DALLAS, TX 75225-6530
(214) 541-8997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91874
TX
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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