Campbell, Sara Louise

Campbell, Sara Louise is an individual health care provider with primary practice located at 60 W Sunbridge Dr , Fayetteville AR 72703-1822. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Campbell, Sara Louise can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
60 W Sunbridge Dr Fayetteville AR 72703-1822
Phone: (479) 750-2020
Fax: (479) 750-4843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X A1505071 Arkansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X P1709351 Arkansas

Profile Details

NPI number 1508032160
LBN Legal business name Campbell, Sara Louise
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated Sep 26th, 2017 - about 9 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 1508032160 NPPES
Arkansas Other A1505071 STATE LICENSE

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