Gabriel Dylan Campbell in Raleigh - Mental Health
Gabriel Dylan Campbell - NPI 1053483693
Gabriel Dylan Campbell is a Mental Health in Raleigh, North Carolina. Gabriel Dylan Campbell practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gabriel Dylan Campbell is 1053483693. The last update date is 2007-07-08.
Gabriel Dylan Campbell's current location address is 3801 Lake Boone Trl, Raleigh, North Carolina. You can contact this provider via phone number 9197849182. The mailing address for Gabriel Dylan Campbell is 3801 Lake Boone Trl, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gabriel Dylan Campbell |
|---|---|
| Address | 3801 Lake Boone Trl, Raleigh, North Carolina |
| Phone Number | 9197849182 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS LPC |
NPI Number Detail
| NPI Number | 1053483693 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3801 Lake Boone Trl |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276072934 |
| Phone Number | 9197849182 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 4558 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6103011 | NC | -- |
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What is the unique identification code assigned to Gabriel Dylan Campbell by the Centers for Medicare & Medicaid Services?
The Gabriel Dylan Campbell has been issued the NPI (National Provider Identifier) 1053483693. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gabriel Dylan Campbell's physical address?
The Gabriel Dylan Campbell is physically located at 3801 Lake Boone Trl, in the city of Raleigh, NC, with the postal code 276072934.
What is Gabriel Dylan Campbell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gabriel Dylan Campbell is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Gabriel Dylan Campbell receive its 1053483693 assignment from the Centers for Medicare & Medicaid Services?
The Gabriel Dylan Campbell was assigned its 1053483693 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the Gabriel Dylan Campbell's details last updated?
The information pertaining to the Gabriel Dylan Campbell, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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