Individual
TRACIE ELIZABETH CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC, LPC, LCAS
Contact information
Practice address
313 CLIFTON ST, GREENVILLE, NC 27858-5008
(252) 353-0100
Mailing address
6350 HARRISONTOWN RD, ROCKY MOUNT, NC 27804-8362
(252) 903-9505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1909
NC
101YP2500X
Professional Counselor
8517
NC
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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