Christine None Campbell, L.P.
Individual provider Active NPI Mental Health Counselor · Sausalito, CA
NPI 1487786885 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487786885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PSY12882 (CA)
- Practice address
- 1505 Bridgeway
Suite 112
Sausalito, CA 94965-1966 - Phone
- (415) 331-8064
- Fax
- (415) 331-8064
- NPI assigned
- Mar 12, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12882 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PSY12882 | CA | Yes |
Addresses
Primary practice location
1505 Bridgeway
Suite 112
Sausalito, CA 94965-1966
Mailing address
1505 Bridgeway
Suite 112
Sausalito, CA 94965-1966
Phone (415) 331-8064
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97295 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Other names
- Christine None Campbell
Other providers in Sausalito, CA
- Bulkley Ventures
- Leigh Allison Burkey
- Lisa Burklund
- Robert A. Burton
- Elisabeth G Cain
- Clay Campbell
- Jennifer Caplan
- Catherine Jessica Carlevato
- Barbara Ann Cedarblade
- Helen Chandler
All providers in Sausalito, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.