Healthcare Provider Details

I. General information

NPI: 1912407784
Provider Name (Legal Business Name): CAMPBELL COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2018
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 LONGVIEW AVE
HACKENSACK NJ
07601-1807
US

IV. Provider business mailing address

94 LONGVIEW AVE
HACKENSACK NJ
07601-1807
US

V. Phone/Fax

Practice location:
  • Phone: 301-266-2485
  • Fax:
Mailing address:
  • Phone: 201-856-9694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD P CAMPBELL
Title or Position: OWNER
Credential:
Phone: 301-266-2485