Most Relevant Information
Provider Data
| NPI Number: | 1003199142 |
| Provider Name: | CAROLINA I CAMPOS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 68267 |
Most Important Dates
| Enumeration Date: | 09/26/2011 |
| Last Updated: | 07/29/2016 |
Provider Practice Location
5420 S JACKSON RD
EDINBURG
TX
785396672
Practice Location Phone/Fax
| Phone: | 9566319000 |
| Fax: | 9569681402 |
Provider Mailing Location
5420 S JACKSON RD
EDINBURG
TX
785396672
Provider Mailing Phone/Fax
| Phone: | 9566319000 |
| Fax: | 9566319013 |