Individual
CHRYSTAL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MHP
Contact information
Practice address
312 W 8TH AVE, SPOKANE, WA 99204
(509) 477-4386
Mailing address
312 W 8TH AVE, SPOKANE, WA 99204-2506
(509) 477-4386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60565456
—
WA
Enumeration date
10/31/2018
Last updated
10/31/2018
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