Individual
SIERAH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC-MSHP
Contact information
Practice address
204 HARNETT CT, CLARKSVILLE, TN 37043-2065
(615) 438-3615
Mailing address
204 HARNETT CT, CLARKSVILLE, TN 37043-2065
(615) 438-3615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4257
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4257
BOARD OF COUNSELORS AND MARRIAGE AND FAMILY THERAPISTS
TN
Enumeration date
01/11/2019
Last updated
12/27/2019
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