| NPI | 1043555006 |
|---|---|
| Former Name | MELISSA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12491) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14250) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2023-06-26 |