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NPI Code Detail

MEDICARE: MS. KIMBERLEE DAWN CAMPBELL CADAC-II

MEDICARE: MS. KIMBERLEE DAWN CAMPBELL CADAC-II
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
1101YA0400XAddiction (Substance Use Disorder) Counselor370045ENCA

General Provider Information

NPI Number : 1124227749
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLEE DAWN CAMPBELL CADAC-II
Provider Business Mailing Address
First Line : 1701 MISSION AVE STE 310
Second Line :
City : OCEANSIDE
State : CA
Zip : 92058-7110
Country : US
Telephone Number : 760-721-2781
Fax Number : 760-712-3195
Provider Business Practice Location Address
First Line : 1701 MISSION AVE STE 310
Second Line :
City : OCEANSIDE
State : CA
Zip : 92058-7110
Country : US
Telephone Number : 760-721-2781
Fax Number : 760-712-3195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2007
Last Update Date : 03/25/2021

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Directions to “ MS. KIMBERLEE DAWN CAMPBELL CADAC-II” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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