Whalio Doctors

NPI 1013127141

Stacy Ann Campbell, LPCRPT

Practitioner Mental Health Counselor Bend, OR

Practice location

Address
25 NW Park Pl, Bend, OR 97703-2954
Phone
(208) 577-1595
Fax
(541) 640-5538
Mailing address
51485 Birch Rd, La Pine, OR 97739-9635

Registered specialties (2)

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence C6123 (OR)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCPC-5865 (ID)

Registry record

NPI
1013127141
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 May 2007
Record last updated
26 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.