Individual
KAREN M CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10102 WOODLAND PLAZA CV, FORT WAYNE, IN 46825-1569
(260) 422-5625
Mailing address
915 S CLINTON ST, FORT WAYNE, IN 46802-2601
(260) 422-5625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002733A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447798889
—
IN
05
—
1811047608
—
IN
05
—
300068777
—
IN
05
—
300080965
—
IN
Enumeration date
07/11/2018
Last updated
03/07/2024
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