Individual
JACQUELINE CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APCC: 8325
Contact information
Practice address
3451 W SHAW AVE, FRESNO, CA 93711-3242
(559) 492-8327
Mailing address
3451 W SHAW AVE, FRESNO, CA 93711-3242
(559) 492-8327
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
8325
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8325
CA
Other
Enumeration date
06/19/2019
Last updated
01/05/2024
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