Individual provider · Type 1 NPI

Jacquetta Denise Campbell, LCMHC-A

Professional Counselor · Charlotte, NC

NPI number 1497541809 Active

Practice location

2315 E Wt Harris Blvd Ste 102
Charlotte, NC 28213-5133

Fax (866) 309-6385

Mailing address

2261 Donnington Ln NW
Concord, NC 28027-3322

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA21191 (NC)

Professional Counselor: Definition to come...

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About NPI 1497541809

Jacquetta Denise Campbell, LCMHC-A's National Provider Identifier is 1497541809, issued on Apr 15, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Apr 15, 2025.