Individual
RAFAEL JAY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1004 BALTIMORE AVE APT 1006, KANSAS CITY, MO 64105-1860
(312) 933-7711
Mailing address
1004 BALTIMORE AVE APT 1006, KANSAS CITY, MO 64105-1860
(312) 933-7711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2020041126
MO
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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