Individual
MS. ELIZABETH ANNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, SUDP
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, BLDG 17, STE B222, VANCOUVER, WA 98661-3753
(360) 639-7848
(360) 397-8492
Mailing address
PO BOX 1845, VANCOUVER, WA 98668-1845
(360) 397-8488
(360) 397-8492
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60131564
WA
1041C0700X
Clinical Social Worker
Primary
LW60987256
WA
Other
Enumeration date
06/09/2008
Last updated
01/13/2020
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