Individual
MISS SOPHIA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
5108 REAGAN DR, CHARLOTTE, NC 28206-3103
(704) 332-8787
Mailing address
2725 FOREST GROVE CT, CHARLOTTE, NC 28269-1034
(704) 332-8787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3546-A
NC
101YM0800X
Mental Health Counselor
P006303
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902194467
—
NC
Enumeration date
07/19/2011
Last updated
07/27/2023
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