person
Shiva Minerva Campbell
Mental Health Counselor in Kenmore, New York
NPI 1871260547

Shiva Minerva Campbell is a Mental Health Counselor based in Kenmore, NY and is specialized in Mental Health. Shiva Minerva Campbell practices in Kenmore, NY. The NPI Number for Shiva Minerva Campbell is 1871260547 and holds a License No. (New York).

The current practice location address for Shiva Minerva Campbell is 2495 Elmwood Ave, Kenmore, NY and can be reached out via phone at 716-882-2127.

Location: 2495 Elmwood Ave, Kenmore, NY, 14217-2222
person
Provider Profile Details
NPI Number
1871260547
Provider Name
Shiva Minerva Campbell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2495 Elmwood Ave, Kenmore, NY, 14217-2222
Phone Number
716-882-2127
Fax Number
Provider Enumeration Date
08/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2495 Elmwood Ave
City
State
Zip
14217-2222
Phone Number
716-882-2127
Fax Number
person
Provider Business Mailing Address Details
Address
2495 Elmwood Ave
City
State
Zip
14217-2222
Phone Number
716-882-2127
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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