Healthcare Provider Details

I. General information

NPI: 1124445143
Provider Name (Legal Business Name): ROBERT P CAMPBELL III MA, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 03/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 TUNNEL RD SUITE D
ASHEVILLE NC
28805-1869
US

IV. Provider business mailing address

119 TUNNEL RD SUITE D
ASHEVILLE NC
28805-1869
US

V. Phone/Fax

Practice location:
  • Phone: 828-350-1000
  • Fax: 828-350-1300
Mailing address:
  • Phone: 828-350-1000
  • Fax: 828-350-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9107
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: