Individual
MISS CAMISHA MICHELE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 RIVERWALK PL, FAYETTEVILLE, NC 28311-6308
(336) 314-9526
Mailing address
4611 RIVERWALK PLACE, FAYETTEVILLE, NC 28311
(336) 314-9526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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