Patricia M. Campbell, LPC, LCADC, CCS,ACS
Individual provider Active NPI Counselor · Villas, NJ
NPI 1982937991 · NPPES record last updated Sep 20, 2017
Key facts
- NPI
- 1982937991
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 37PC00053400 (NJ)
- Practice address
- 899 Bayshore Rd
Villas, NJ 08251-2780 - Phone
- (609) 886-8666
- Fax
- (609) 886-9666
- NPI assigned
- Sep 9, 2009
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00053400 | NJ | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37PC00053400 | NJ | Yes |
Addresses
Primary practice location
899 Bayshore Rd
Villas, NJ 08251-2780
Mailing address
899 Bayshore Road
Villas, NJ 08251
Phone (609) 886-8666
Other providers in Villas, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2017. 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.