Individual
LUCYNDA LAURYNNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC I
Contact information
Practice address
701 INDIAN RIVER RD, SITKA, AK 99835-7480
(907) 747-2801
Mailing address
701 INDIAN RIVER RD, SITKA, AK 99835-7480
(907) 747-2801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3361
AK
171M00000X
Case Manager/Care Coordinator
Primary
3361
AK
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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