Edna Lea Campbell, LPC-S
Counselor, Professional in Choctaw, OK. Individual provider (NPI-1).
NPI number1104246867
StatusActive
Last updated in NPPESNov 13, 2024
Details
- NPI
- 1104246867
- Entity type
- Individual (NPI-1)
- Name
- Edna Lea Campbell
- Credential
- LPC-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2014
- Certification date
- Nov 13, 2024
- Last updated
- Nov 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | P1609141 | AR | Yes |
| 101YM0800X | Counselor, Mental Health | 10228 | OK |
Other names
- Edna Lea Thompson (Other Name)
Practice location
2224 Apache StChoctaw, OK 73020-3005
Phone 708-882-7484
Mailing address
2224 Apache StChoctaw, OK 73020-3005
Phone 708-882-7484
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