| Campbell Counseling Llc | |
|
4 Swimming River Rd Ste 101 Lincroft NJ 07738-1727 | |
| (732) 784-7869 | |
| Not Available |
| Full Name | Campbell Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4 Swimming River Rd Ste 101, Lincroft, New Jersey |
| Authorized Official Name and Position | Melissa L Campbell (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7327847869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Counseling Llc 68 White St Ste 7-235 Red Bank NJ 07701-1656 Ph: (732) 784-7869 | Campbell Counseling Llc 4 Swimming River Rd Ste 101 Lincroft NJ 07738-1727 Ph: (732) 784-7869 |
| NPI Number | 1255901302 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 7315342318 |
|---|---|
| Medicare Enrollment ID | O20210827002629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255901302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa L Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154718393 PECOS PAC ID: 4880905074 Enrollment ID: I20150615000811 |
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