Most Relevant Information
Provider Data
NPI Number: | 1003246331 |
Provider Name: | CLINTON JAY CAMPBELL LMHCA |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | MC60275036 |
Most Important Dates
Enumeration Date: | 11/22/2013 |
Last Updated: | 11/22/2013 |
Provider Practice Location
1800 NW MARKET ST
SUITE 200
SEATTLE
WA
981073900
Practice Location Phone/Fax
Phone: | 4432542978 |
Fax: |
Provider Mailing Location
1800 NW MARKET ST
SUITE 200
SEATTLE
WA
981073900
Provider Mailing Phone/Fax
Phone: | 4432542978 |
Fax: |