Individual
MR. TROY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
346 EAGLE DR, OHKAY OWINGEH, NM 87566-3600
(505) 901-8725
Mailing address
PO BOX 1631, ESPANOLA, NM 87532-1631
(505) 709-0608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-12090
NM
101YM0800X
Mental Health Counselor
C-12090
NM
1041C0700X
Clinical Social Worker
Primary
C-12090
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437615564
—
NM
Enumeration date
02/13/2019
Last updated
06/11/2025
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