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General NPI Number Information
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NPI Number | 1255901302
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Entity Type | Organization
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Legal Business Name | CAMPBELL COUNSELING LLC
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 4 SWIMMING RIVER RD STE 101
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City | LINCROFT
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State | NJ
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Zip | 07738-1727
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Country | US
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Telephone | 732-784-7869
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Fax |
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Provider Business Mailing Address
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Address Line | 68 WHITE ST STE 7-235
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City | RED BANK
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State | NJ
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Zip | 07701-1656
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Country | US
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Telephone | 732-784-7869
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DR. MELISSA L CAMPBELL
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Credential | DSW LCSW
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Telephone | 732-784-7869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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