MEDICARE: JACQUELINE MARIE CAMPBELL LMFT

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
1	101YM0800X	Mental Health Counselor	1639	TN

General Provider Information

NPI Number	:	1396490603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE MARIE CAMPBELL LMFT

Provider Business Mailing Address
First Line	:	1455 19TH ST SE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-7006
Country	:	US
Telephone Number	:	770-608-8497
Fax Number	:

Provider Business Practice Location Address
First Line	:	6011 CHESTERTON WAY STE 209
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-1523
Country	:	US
Telephone Number	:	423-715-8099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2022
Last Update Date	:	12/12/2023

Similar Medicare Providers

1699614222 — SARAH OTIS
Practice Location Address:

6011 CHESTERTON WAY STE 209
OOLTEWAH, TN
37363-1523

Practice Phone: 423-414-4997
Practice Fax:

1124446174 — BRIAN CHINN D.C.
Practice Location Address:

6011 CHESTERTON WAY STE 209
OOLTEWAH, TN
37363-1523

Practice Phone: 423-355-5100
Practice Fax: 423-355-5101

1063989150 — PATRICE VIVIENNE HENRY APRN
Practice Location Address:

6508 SATJANON DR
OOLTEWAH, TN
37363-7296

Practice Phone: --
Practice Fax:

1437006269 — ELIJAH HARVEY PTA
Practice Location Address:

5314 VILLAGE GARDEN DR
OOLTEWAH, TN
37363-9006

Practice Phone: 423-650-8768
Practice Fax:

1124989413 — T L BURTON
Practice Location Address:

7629 ROYAL HARBOUR CIR
OOLTEWAH, TN
37363-9153

Practice Phone: 423-903-7568
Practice Fax:

1437010733 — TRI-STATE FUNCTIONAL NEUROTHERAPY
Practice Location Address:

7629 ROYAL HARBOUR CIR
OOLTEWAH, TN
37363-9153

Practice Phone: 423-558-9088
Practice Fax:

Directions to “ JACQUELINE MARIE CAMPBELL LMFT” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.