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NPI Code Detail

MEDICARE: JESSICA CAMPBELL LPC

MEDICARE: JESSICA 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
1101YM0800XMental Health Counselor80151TX

General Provider Information

NPI Number : 1215547591
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA CAMPBELL LPC
Provider Business Mailing Address
First Line : 301 CLEAR HAVEN DR
Second Line :
City : COPPELL
State : TX
Zip : 75019-2624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6942 MAIN ST
Second Line :
City : FRISCO
State : TX
Zip : 75033-4245
Country : US
Telephone Number : 972-658-7831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2020
Last Update Date : 02/11/2026

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Directions to “ JESSICA CAMPBELL LPC” Practice Location

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