Individual
KAYLA E CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-14510
AZ
101YP2500X
Professional Counselor
Primary
LPC-16635
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262911
—
AZ
Enumeration date
07/15/2014
Last updated
06/19/2017
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