Individual
JACQUELYN A CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CP5573-R
NV
101Y00000X
Counselor
LPC-18602
AZ
101YM0800X
Mental Health Counselor
C.1700534
OH
101YM0800X
Mental Health Counselor
CP5573-R
NV
101YM0800X
Mental Health Counselor
LPC-18602
AZ
101YP2500X
Professional Counselor
Primary
LPC-18602
AZ
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/27/2017
Last updated
12/21/2023
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