Individual
ALANIS CARISA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 PARKCREST, NEWPORT COAST, CA 92657-1084
(209) 604-2028
Mailing address
140 PARKCREST, NEWPORT COAST, CA 92657-1084
(209) 604-2028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121932
CA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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