MEDICARE: EMILY ELIZABETH JEANNE CAMPBELL LPCC

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	101Y00000X	Counselor	15636	CA

General Provider Information

NPI Number	:	1487402814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ELIZABETH JEANNE CAMPBELL LPCC

Provider Business Mailing Address
First Line	:	8707 CHISHOLM DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-4463
Country	:	US
Telephone Number	:	661-331-9129
Fax Number	:

Provider Business Practice Location Address
First Line	:	8707 CHISHOLM DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-4463
Country	:	US
Telephone Number	:	661-331-9129
Fax Number	:

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

Provider Enumeration Date	:	05/09/2024
Last Update Date	:	06/16/2026

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