Individual
JAIME CLARE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(505) 925-4044
(505) 925-4055
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 833-2300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/16/2018
Last updated
07/22/2019
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