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NPI Code Detail

MEDICARE: KATHERINE CAMPBELL

MEDICARE: KATHERINE CAMPBELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1043534688
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE CAMPBELL
Provider Business Mailing Address
First Line : 1010 GOUGH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7622
Country : US
Telephone Number : 415-474-7310
Fax Number :
Provider Business Practice Location Address
First Line : 1010 GOUGH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7622
Country : US
Telephone Number : 415-474-7310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2010
Last Update Date : 12/14/2025

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Directions to “ KATHERINE CAMPBELL ” Practice Location

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