Campbell, Jennifer Patricia
Campbell, Jennifer Patricia is an sole proprietor health care provider with primary practice located at 939 Gardenview Office Pkwy , Creve Coeur MO 63141-5917. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Campbell, Jennifer Patricia can be contacted via phone (314) 566-2290.Contact Information
Primary practice address
939 Gardenview Office Pkwy
Creve Coeur MO 63141-5917
Phone: (314) 566-2290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2008010475 | Missouri |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5030 | Missouri |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2008010475 | Missouri |
Profile Details
| NPI number | 1306178918 |
|---|---|
| LBN Legal business name | Campbell, Jennifer Patricia |
| Credentials | MA, LPC, CCDP-D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2010 |
| Last updated | Feb 6th, 2010 - about 16 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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