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NPI Code Detail

MEDICARE: MISS ALLISON J CAMPBELL MS ,LCPC

MEDICARE: MISS ALLISON J CAMPBELL MS ,LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorBBH-LCPC-LIC-57550MT

General Provider Information

NPI Number : 1043937279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALLISON J CAMPBELL MS ,LCPC
Provider Business Mailing Address
First Line : 914 S LAKE AVE
Second Line :
City : MILES CITY
State : MT
Zip : 59301-4535
Country : US
Telephone Number : 406-853-3041
Fax Number :
Provider Business Practice Location Address
First Line : 2911 WILSON ST
Second Line :
City : MILES CITY
State : MT
Zip : 59301-5722
Country : US
Telephone Number : 406-234-2929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2022
Last Update Date : 11/01/2022

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