Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNIE MOOD CAMPBELL, LMFT
Active Sole ProprietorJEANNIE MOOD CAMPBELL, LMFT is a Marriage & Family Therapist healthcare provider located in LA GRANDE, Oregon. NPI 1336285238 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · LA GRANDE, OR
Registration Details
- NPI Number
- 1336285238
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2007 (19.497925755529 yrs)
- Last Updated
- Jun 28, 2021
- Licenses
-
45366 (CA)T1483 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1804 LINDA LNLA GRANDE, OR, 978503325Browse OR providers · Browse ZIP 97850
- Phone
- 5412364743
- Fax
- 5416050253
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.