Individual
MRS. RENEE SUSANNE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2315 MYRON DR, RALEIGH, NC 27607-3344
(919) 576-6018
(919) 784-9184
Mailing address
109 BROOK HOLLOW CT, CARY, NC 27513-4932
(919) 308-9024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4486
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102502
—
NC
Enumeration date
09/26/2006
Last updated
05/21/2010
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