Lakischa Simone Campbell, is a
Marriage & Family Therapist based in Riverside, California. Lakischa Simone Campbell is licensed to practice in California (license number IMF75218) and her current practice location is
6711 Arlington Ave, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 352-3943.
NPI number for Lakischa Simone Campbell is 1558656207 and her current mailing address is 6711 Arlington Ave Ste D, Riverside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558656207.
Healthcare Provider's Profile
Full Name | Lakischa Simone Campbell |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 6711 Arlington Ave, Riverside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558656207
- Provider Enumeration Date: 06/10/2011
- Last Update Date: 02/10/2016
Medical Identifiers
Medical identifiers for Lakischa Simone Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558656207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSB94022231 (California) | Secondary |
106H00000X | Marriage & Family Therapist | IMF75218 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakischa Simone Campbell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lakischa Simone Campbell, 6711 Arlington Ave Ste D, Riverside, CA 92504-1966 Ph: (951) 352-3943 | Lakischa Simone Campbell, 6711 Arlington Ave, Riverside, CA 92504-1955 Ph: (951) 352-3943 |
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