Individual
AMANDA KATHERINE CAMPBELL
Active
Individual
AMANDA KATHERINE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MADDC II
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2024049781
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
18254
MO
101YM0800X
Mental Health Counselor
2024049781
MO
101YP2500X
Professional Counselor
Primary
2024049781
MO
Other
Enumeration date
08/01/2024
Last updated
05/15/2025
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