Most Relevant Information
Provider Data
| NPI Number: | 1003367723 |
| Provider Name: | VICKIE ELLEN CAMPBELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CP00006062 |
Most Important Dates
| Enumeration Date: | 10/18/2016 |
| Last Updated: | 10/18/2016 |
Provider Practice Location
301 E CLAY AVE STE 201
CHEWELAH
WA
991098936
Practice Location Phone/Fax
| Phone: | 5099354808 |
| Fax: | 5099354897 |
Provider Mailing Location
165 E HAWTHORNE AVE
COLVILLE
WA
991142629
Provider Mailing Phone/Fax
| Phone: | 5096844597 |
| Fax: | 5096845286 |