Individual
MRS. NATOSHA LABELLE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMSW
Contact information
Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
(203) 330-6008
Mailing address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
(203) 330-6008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
01171
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001171
STATE LICENSE
CT
05
—
004236148
—
CT
Enumeration date
09/24/2007
Last updated
10/18/2019
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