Campbell, Kara Jane

Campbell, Kara Jane is an individual health care provider with primary practice located at 31207 Keats Way Ste 202 , Evergreen CO 80439-2220. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Campbell, Kara Jane can be contacted via phone (303) 204-4962.

Contact Information

Primary practice address
31207 Keats Way Ste 202 Evergreen CO 80439-2220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CWS.09923908 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006607A Indiana

Profile Details

NPI number 1417295726
LBN Legal business name Campbell, Kara Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2013
Last updated Aug 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417295726 NPPES
Indiana MEDICAID 100073590

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