Provider Demographics
NPI:1205829645
Name:CAMPBELL, CHERYLANNE (MS)
Entity Type:Individual
Prefix:MS
First Name:CHERYLANNE
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:CAMPBELL
Other - Last Name:JARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:106 STRAUBE CENTER BLVD STE F105
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1436
Mailing Address - Country:US
Mailing Address - Phone:609-818-9770
Mailing Address - Fax:609-737-0007
Practice Address - Street 1:106 STRAUBE CENTER BLVD STE F105
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1436
Practice Address - Country:US
Practice Address - Phone:609-818-9770
Practice Address - Fax:609-737-0007
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00233100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional