Melodie Campbell
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164080107
StatusActive
Last updated in NPPESJun 4, 2019
Details
- NPI
- 1164080107
- Entity type
- Individual (NPI-1)
- Name
- Melodie Campbell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2019
- Last updated
- Jun 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 11946-R | CA | Yes |
Practice location
3727 W 6th St Ste 411Los Angeles, CA 90020-5112
Phone 213-365-7400
Mailing address
3727 W 6th St Ste 411Los Angeles, CA 90020-5112
Phone 213-365-7400
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