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NPI Code Detail

MEDICARE: RAQUEL CAMPBELL

MEDICARE:   RAQUEL  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
1106H00000XMarriage & Family TherapistMI1167NV
2106H00000XMarriage & Family Therapist4446NV

General Provider Information

NPI Number : 1093105181
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL CAMPBELL
Provider Business Mailing Address
First Line : 3716 BACH WAY
Second Line : NORTH LAS VEGAS
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0628
Country : US
Telephone Number : 702-787-0387
Fax Number :
Provider Business Practice Location Address
First Line : 3716 BACH WAY
Second Line : NORTH LAS VEGAS
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0628
Country : US
Telephone Number : 702-787-0387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2015
Last Update Date : 04/04/2023

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Directions to “ RAQUEL CAMPBELL ” Practice Location

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