Lydia Campos is a Counselor in Stockton, California. Lydia Campos practices all healthcare services and medical treatments related to Counselor. The NPI Number for Lydia Campos is 1114194305. The last update date is 2008-05-15.
Lydia Campos's current location address is 1149 N El Dorado St, Stockton, California. You can contact this provider via phone number 2094682335. The mailing address for Lydia Campos is 1149 N El Dorado St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia Campos |
|---|---|
| Address | 1149 N El Dorado St, Stockton, California |
| Phone Number | 2094682335 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114194305 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 1149 N El Dorado St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952021305 |
| Phone Number | 2094682335 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A5125191 | CA | DRIVERS LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Lydia Campos by the Centers for Medicare & Medicaid Services?
The Lydia Campos has been issued the NPI (National Provider Identifier) 1114194305. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lydia Campos?
The Lydia Campos is situated at 1149 N El Dorado St, in the city of Stockton, state of CA, with the zip code 952021305.
What is the area of specialization for Lydia Campos, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lydia Campos is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date was the 1114194305 assigned to Lydia Campos?
The Lydia Campos was issued its 1114194305 on 2008-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Lydia Campos's information last updated?
The Lydia Campos's information was last updated on 2008-05-15.