Individual
MS. JACQUELINE C. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
717 W MAIN ST, MIDLOTHIAN, TX 76065-2939
(214) 235-9087
Mailing address
7402 LAKE RIDGE PKWY APT 8323, GRAND PRAIRIE, TX 75054-0418
(214) 235-9087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
76096
TX
Other
Enumeration date
08/17/2017
Last updated
02/13/2024
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