Individual
ALEXIS LEEANA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 TERRY ST, LONGMONT, CO 80501-5930
(303) 578-0527
Mailing address
545 MANHATTAN DR UNIT 101, BOULDER, CO 80303-4078
(760) 898-8421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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