Victoria A Campbell, LMFT
Individual provider Active NPI Marriage & Family Therapist · Soquel, CA
NPI 1891966602 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1891966602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 47586 (CA)
- Practice address
- 4601 W Walnut St # MB4
Soquel, CA 95073-2460 - Phone
- (831) 588-7631
- NPI assigned
- Mar 19, 2008
- 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 |
|---|---|---|---|
| 1472 | NV | MD | Marriage & Family Therapist |
| 47586 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1472 | NV | |
| Marriage & Family Therapist | 106H00000X | 47586 | CA | Yes |
Addresses
Primary practice location
4601 W Walnut St # MB4
Soquel, CA 95073-2460
Mailing address
4601 W Walnut St # MB4
Soquel, CA 95073-2460
Phone (831) 588-7631
Other providers in Soquel, CA
- Katherine Emerson Butler
- Lorraine Kay Butterworth
- McKenzie Caborn
- Lorraine Susan Cahn
- Lawrence Calderon
- Eric R Carlblom
- Michelle Katsky Caron
- Katelyn Carson
- Eileen Wheeler Cavalier
- Center for Youth Mental Health
All providers in Soquel, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. 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.