Individual
MRS. MYRA IRENE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 BEVER GRADE, LAPWAI, ID 83540
(208) 843-2271
Mailing address
PO DRAWER 367, LAPWAI, ID 83540
(208) 843-2271
(208) 843-2102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-7239
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000001
WA STATE LICENSE
WA
Enumeration date
03/29/2013
Last updated
06/03/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us