| NPI | 1548633027 |
|---|---|
| Former Name | DANIELLE R CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60696575) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2017-03-23 |