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General NPI Number Information
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NPI Number | 1437615564
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Entity Type | Individual
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Provider Name | TROY CAMPBELL LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 346 EAGLE DR
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City | OHKAY OWINGEH
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State | NM
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Zip | 87566-3600
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Country | US
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Telephone | 505-901-8725
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1631
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City | ESPANOLA
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State | NM
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Zip | 87532-1631
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Country | US
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Telephone | 505-709-0608
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-12090
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C-12090
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-12090
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License Number State | NM
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