Campbell, Traci Leigh

Campbell, Traci Leigh is an individual health care provider with primary practice located at 6915 Tutt Blvd Ste 110B , Colorado Springs CO 80923-3591. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Campbell, Traci Leigh can be contacted via phone (719) 445-1292.

Contact Information

Primary practice address
6915 Tutt Blvd Ste 110B Colorado Springs CO 80923-3591
Phone: (719) 445-1292
Fax: (719) 591-6486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC.0014308 Colorado
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1212 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY.0004952 Colorado

Profile Details

NPI number 1588814636
LBN Legal business name Campbell, Traci Leigh
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2008
Last updated Mar 18th, 2019 - about 5 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 1588814636 NPPES
Colorado Other PSY.0004952 LICENSE

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