Individual
HEATHER CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
223 N WAHSATCH AVE, SUITE 104, COLORADO SPRINGS, CO 80903-3479
(719) 646-1835
(719) 505-8554
Mailing address
PO BOX 375, COLORADO SPRINGS, CO 80901-0375
(719) 588-6685
(719) 505-8554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5608
CO
101YP2500X
Professional Counselor
Primary
5608
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04140091
—
CO
Enumeration date
05/07/2008
Last updated
03/24/2011
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