Organization
KIMBERLY BROWN CAMPBELL, EDD, LCPC, ATR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY BROWN CAMPBELL EDD (ART THERAPIST)
(406) 396-6565
Entity
Organization
Contact information
Practice address
235 N 1ST ST W, SUITE 1, MISSOULA, MT 59802-3661
(406) 396-6565
Mailing address
511 E PINE ST, MISSOULA, MT 59802-4635
(406) 396-6565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1339
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093953036
—
MT
Enumeration date
03/29/2016
Last updated
03/29/2016
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