Angela Campbell, M.ED LPC
Individual provider Active NPI Mental Health Counselor · Wynnewood, OK
NPI 1104192665 · NPPES record last updated Feb 5, 2015
Key facts
- NPI
- 1104192665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 202 S Washita Ave
Wynnewood, OK 73098-7820 - Phone
- (405) 665-4385
- NPI assigned
- Mar 29, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
202 S Washita Ave
Wynnewood, OK 73098-7820
Mailing address
202 S Washita Ave
Wynnewood, OK 73098-7820
Other providers in Wynnewood, OK
- Esther Leanne Bautista
- Brittany Kristin Bowles
- Lonna Joan Brooks
- Desiree Briana Bryant
- Jayme Elizabeth Burnett-Green
- Amy Corrick
- Crescent Drug and Apothecary LLC
- Crescent Drug and Apothecary LLC
- Crescent Drug Store Inc
- Davids Pharmacy
All providers in Wynnewood, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.