Campbell, Emily M

Campbell, Emily M is an individual health care provider with primary practice located at 50 Prairie Ave , Prairie Du Sac WI 53578-1541. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Campbell, Emily M can be contacted via phone (608) 643-3147.

Contact Information

Primary practice address
50 Prairie Ave Prairie Du Sac WI 53578-1541
Phone: (608) 643-3147
Fax: (608) 643-3178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6963-125 Wisconsin

Profile Details

NPI number 1174072284
LBN Legal business name Campbell, Emily M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2016
Last updated Jul 26th, 2021 - about 3 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 1174072284 NPPES
Wisconsin MEDICAID 1174072284

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