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NPI Code Detail

MEDICARE: NOLAN J CAMPBELL LPC

MEDICARE: NOLAN J CAMPBELL LPC
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
1101Y00000XCounselorWI
2101Y00000XCounselor
3101YM0800XMental Health Counselor10262WI
4101Y00000XCounselor10262125WI

General Provider Information

NPI Number : 1205426244
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOLAN J CAMPBELL LPC
Provider Business Mailing Address
First Line : 505 S DEWEY ST STE 212A
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-3781
Country : US
Telephone Number : 855-607-8242
Fax Number : 715-848-0425
Provider Business Practice Location Address
First Line : 9809 S FRANKLIN DR STE 302
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-8885
Country : US
Telephone Number : 262-789-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2021
Last Update Date : 12/17/2025

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Directions to “ NOLAN J CAMPBELL LPC” Practice Location

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