Individual provider · NPI-1

Cynthia Ann Campbell

Counselor, Mental Health · Rocky Mount, NC

NPI number1417599861

StatusActive

Last updated in NPPESOct 16, 2019

Details

NPI: 1417599861
Entity type: Individual (NPI-1)
Name: Mrs. Cynthia Ann Campbell
Sex: Female
Sole proprietor: No
Enumeration date: Oct 16, 2019
Last updated: Oct 16, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	NC	Yes
101Y00000X	Counselor	–	NC
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	NC
103TC1900X	Psychologist, Counseling	–	NC
103TF0200X	Psychologist, Forensic	–	NC
103TP2701X	Psychologist, Group Psychotherapy	–	NC
104100000X	Social Worker	–	NC
2080C0008X	Pediatrics, Child Abuse Pediatrics	–	NC

Practice location

601 Tarboro St
Rocky Mount, NC 27801-5955

Phone 910-556-6130

Mailing address

115 Appomattox Dr
Cameron, NC 28326-5536

Phone 910-556-6130

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