Campos, Jackelynn

Campos, Jackelynn is an individual health care provider with primary practice located at 3800 Coolidge Ave , Oakland CA 94602-3399. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent. Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent is her primary health care specialty. Campos, Jackelynn can be contacted via phone (510) 482-2244.

Contact Information

Primary practice address
3800 Coolidge Ave Oakland CA 94602-3399
Phone: (510) 482-2244
Fax: (510) 488-1960
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 95210993 California

Profile Details

NPI number 1750741336
LBN Legal business name Campos, Jackelynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2016
Last updated Jun 1st, 2020 - about 4 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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