Campbell, Bonnie Marie

Campbell, Bonnie Marie is an sole proprietor health care provider with primary practice located at 1102 Hays St , Tallahassee FL 32301-2632. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Campbell, Bonnie Marie can be contacted via phone (850) 559-6082.

Contact Information

Primary practice address
1102 Hays St Tallahassee FL 32301-2632
Phone: (850) 559-6082
Fax: (850) 765-4269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2187 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5993 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2049 Florida

Profile Details

NPI number 1407855570
LBN Legal business name Campbell, Bonnie Marie
Credentials LMFT, LMHC, CAP, SAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Jan 27th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407855570 NPPES
Florida MEDICAID 008598700

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