Cheri Lynn Campau V

Individual provider Active NPI Peer Specialist · Blythe, CA

NPI 1295015402 · NPPES record last updated Mar 29, 2022

Key facts

NPI
1295015402
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
1297 W Hobsonway
Blythe, CA 92225-1423
Phone
(760) 921-5000
Fax
(760) 921-5002
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

1297 W Hobsonway
Blythe, CA 92225-1423

Mailing address

1297 W Hobsonway
Blythe, CA 92225-1423
Phone (760) 921-5000

Other providers in Blythe, CA

All providers in Blythe, CA · Peer Specialist in California

Sources for this page

Verify at the official NPI Registry.