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Individual

JACQUELINE MARIE CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
6011 CHESTERTON WAY STE 209, OOLTEWAH, TN 37363-1523
(423) 715-8099
Mailing address
1455 19TH ST SE, CLEVELAND, TN 37311-7006
(770) 608-8497

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1639
TN

Other

Enumeration date
02/15/2022
Last updated
12/12/2023
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