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Individual

MR. GARY DUANE CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., LMFT, LMHC

Contact information

Practice address
7102 W LINCOLN AVE, YAKIMA, WA 98908-1240
(509) 965-9592
(509) 972-8216
Mailing address
7102 W LINCOLN AVE, YAKIMA, WA 98908-1240
(509) 965-9592
(509) 972-8216

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00006028
WA
106H00000X
Marriage & Family Therapist
Primary
LF00001014
WA

Other

Enumeration date
07/16/2007
Last updated
07/16/2007
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