Individual provider · Type 1 NPI
Tracy Daniel Campbell, CAS
Addiction (Substance Use Disorder) Counselor · Shasta Lake, CA
NPI number
1861753493
Active
Practice location
5010 Shasta Dam Blvd
Shasta Lake, CA 96019-9406
Fax (530) 275-3717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 03-084213 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Shasta Lake
About NPI 1861753493
Tracy Daniel Campbell, CAS's National Provider Identifier is 1861753493, issued on May 30, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shasta Lake, CA. The record was last updated on May 30, 2012.