Individual
TATIANA D CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5908 GETWELL RD, SOUTHAVEN, MS 38672-7317
(662) 536-4646
(662) 536-4443
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701012355
VA
101YP2500X
Professional Counselor
Primary
3056
MS
Other
Enumeration date
09/12/2023
Last updated
11/27/2023
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