person
Mr. Tracy Daniel Campbell, CAS
Addiction (Substance Use Disorder) Counselor in Shasta Lake, California
NPI 1861753493

Tracy Daniel Campbell is an Addiction (Substance Use Disorder) Counselor based in Shasta Lake, CA and is specialized in Addiction (Substance Use Disorder). Tracy Daniel Campbell practices in Shasta Lake, CA and has the professional credentials of CAS. The NPI Number for Tracy Daniel Campbell is 1861753493 and holds a License No. 03-084213 (California).

The current practice location address for Tracy Daniel Campbell is 5010 Shasta Dam Blvd, Shasta Lake, CA and can be reached out via phone at 530-275-1076 and via fax at 530-275-3717.

Location: 5010 Shasta Dam Blvd, Shasta Lake, CA, 96019-9406
person
Provider Profile Details
NPI Number
1861753493
Provider Name
Tracy Daniel Campbell
Credential
CAS
Provider Entity Type
Individual
Gender
Male
Address
5010 Shasta Dam Blvd, Shasta Lake, CA, 96019-9406
Phone Number
530-275-1076
Fax Number
530-275-3717
Provider Enumeration Date
05/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5010 Shasta Dam Blvd
City
State
Zip
96019-9406
Phone Number
530-275-1076
Fax Number
530-275-3717
person
Provider Business Mailing Address Details
Address
5010 Shasta Dam Blvd
City
State
Zip
96019-9406
Phone Number
530-275-1076
Fax Number
530-275-3717
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
03-084213 (California)
Definition
Definition to come...
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