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General NPI Number Information
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NPI Number | 1447725692
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Entity Type | Individual
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Provider Name | HANNAH CAREY CAMPBELL LMFT, LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 07/04/2023
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Provider Practice Location Address
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Address Line | 2308 CLIFTON FORGE DR
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City | SAINT LOUIS
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State | MO
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Zip | 63131-3120
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Country | US
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Telephone | 310-488-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31853
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City | SAINT LOUIS
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State | MO
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Zip | 63131-0853
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Country | US
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Telephone | 310-488-7500
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9833
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 120400
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License Number State | CA
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