Provider Demographics
NPI:1194245829
Name:CAMPBELL, DENISE MARGARET (LPC-A)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARGARET
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4496 JACKSON KING RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-7367
Mailing Address - Country:US
Mailing Address - Phone:919-780-9437
Mailing Address - Fax:919-803-8181
Practice Address - Street 1:3000 HIGHWOODS BLVD STE 310
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1029
Practice Address - Country:US
Practice Address - Phone:919-715-7500
Practice Address - Fax:919-714-7367
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA13038OtherNCBLPC - LPC-A