Carli M Campbell, LCPC
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1124516083
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1124516083
- Entity type
- Individual (NPI-1)
- Name
- Carli M Campbell
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2018
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180013047 | IL | Yes |
Practice location
155 N Michigan Ave Ste 201Chicago, IL 60601-7940
Phone 312-819-7381
Mailing address
2240 W Farragut AveChicago, IL 60625-0008
Phone 262-424-6409
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