Campbell, Tracy Daniel

Campbell, Tracy Daniel is an individual health care provider with primary practice located at 5010 Shasta Dam Blvd , Shasta Lake CA 96019-9406. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Campbell, Tracy Daniel can be contacted via phone (530) 275-1076.

Contact Information

Primary practice address
5010 Shasta Dam Blvd Shasta Lake CA 96019-9406
Phone: (530) 275-1076
Fax: (530) 275-3717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 03-084213 California

Profile Details

NPI number 1861753493
LBN Legal business name Campbell, Tracy Daniel
Credentials CAS
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated May 30th, 2012 - about 14 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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