Active NPIIndividual provider

Kadijah Campbell, LAC

Counselor in Upper Montclair, New Jersey

NPI Number1578309209
Practice location
622-624 Valley RD Ste 5G-5H, Upper Montclair, NJ 07043-1462
Fax
—
Last updated
July 2, 2024

Kadijah Campbell is a Counselor based in Upper Montclair, NJ. Kadijah Campbell practices in Upper Montclair, NJ and has the professional credentials of LAC. The NPI Number for Kadijah Campbell is 1578309209 and holds a License No. 37AC00803600 (NJ). The current practice location address for Kadijah Campbell is 622-624 Valley RD Ste 5G-5H, Upper Montclair, NJ 07043-1462 and can be reached out via phone at 732-674-9857.

Provider Profile Details

NPI Number
1578309209
Provider Name
Kadijah Campbell
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
622-624 Valley RD Ste 5G-5H, Upper Montclair, NJ 07043-1462
Phone Number
732-674-9857
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2024
Last Update Date
July 2, 2024
Certification Date
July 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
622-624 Valley RD Ste 5G-5H
Upper Montclair, NJ 07043-1462
Zip
07043-1462
Phone Number
732-674-9857
Upper Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
622-624 Valley RD Ste 5G-5H
Upper Montclair, NJ 07043-1462
City
Upper Montclair
State
NJ
Zip
07043-1462
Phone Number
908-922-6404

License Information

License Number
37AC00803600
License State
NJ
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kadijah Campbell, LAC?

The NPI number of Kadijah Campbell, LAC is 1578309209. It was assigned on July 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Kadijah Campbell, LAC?

Kadijah Campbell, LAC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 37AC00803600.

Where does Kadijah Campbell, LAC practice?

The practice location is 622-624 Valley RD Ste 5G-5H, Upper Montclair, NJ 07043-1462. The office can be reached at 732-674-9857 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578309209 directly on the NPPES registry website.

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