Campbell, Jacqueline Marie
Campbell, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 6011 Chesterton Way Ste 209 , Ooltewah TN 37363-1523. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Campbell, Jacqueline Marie can be contacted via phone (423) 715-8099.Contact Information
Primary practice address
6011 Chesterton Way Ste 209
Ooltewah TN 37363-1523
Phone: (423) 715-8099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1639 | Tennessee |
Profile Details
| NPI number | 1396490603 |
|---|---|
| LBN Legal business name | Campbell, Jacqueline Marie |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2022 |
| Last updated | Dec 12th, 2023 - about last year |
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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