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General NPI Number Information
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NPI Number | 1245978501
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Entity Type | Individual
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Provider Name | EMILY JOYCE CAMPOS MA CMHC
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Gender | Female
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 2225 PACIFIC BLVD SE BLDG SE
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City | ALBANY
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State | OR
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Zip | 97321-7907
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Country | US
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Telephone | 541-321-2278
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Fax | 541-246-8826
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Provider Business Mailing Address
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Address Line | 1075 WASHINGTON ST
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City | EUGENE
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State | OR
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Zip | 97401-4606
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Country | US
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Telephone | 541-321-2278
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Fax | 541-246-8826
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C10296
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License Number State | OR
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