Campbell, Nichole Adelle

Campbell, Nichole Adelle is an sole proprietor health care provider with primary practice located at 290 Elwood Davis Rd Ste 222 , Liverpool NY 13088. 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, Nichole Adelle can be contacted via phone (315) 457-4133.

Contact Information

Primary practice address
290 Elwood Davis Rd Ste 222 Liverpool NY 13088
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0034221 New York

Profile Details

NPI number 1649314592
LBN Legal business name Campbell, Nichole Adelle
Credentials M.A., L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated May 15th, 2018 - about 6 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.

Request for update

Popular Providers