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General NPI Number Information
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NPI Number | 1871614610
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Entity Type | Individual
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Provider Name | LUCREZIA I CAMPBELL LMFT, SUDP
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVENUE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-477-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 FITZSIMMONS DR
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98431-1000
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Country | US
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Telephone | 206-920-5858
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.LF.00002634
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDP.CP.60187497
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License Number State | WA
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