| Mr Tracy Daniel Campbell, CAS | |
|
5010 Shasta Dam Blvd, Shasta Lake, CA 96019-9406 | |
| (530) 275-1076 | |
| (530) 275-3717 |
| Full Name | Mr Tracy Daniel Campbell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5010 Shasta Dam Blvd, Shasta Lake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861753493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 03-084213 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tracy Daniel Campbell, CAS 5010 Shasta Dam Blvd, Shasta Lake, CA 96019-9406 Ph: (530) 275-1076 | Mr Tracy Daniel Campbell, CAS 5010 Shasta Dam Blvd, Shasta Lake, CA 96019-9406 Ph: (530) 275-1076 |
Tina Marie Milan, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4300 Fort Peck St, Shasta Lake, CA 96019 Phone: 530-338-0087 | |
Mrs. Kathryn Jocelyn Nuss, CASII, NCACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 5010 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1076 Fax: 530-275-1076 | |
Gloria Richmond, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5149 Front St, Shasta Lake, CA 96019 Phone: 530-329-0780 |