Provider Demographics
NPI:1437433760
Name:KAMPF ROBBINS, HOLLY RACHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:RACHELLE
Last Name:KAMPF ROBBINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 US HIGHWAY 395 N
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-5304
Mailing Address - Country:US
Mailing Address - Phone:775-782-1630
Mailing Address - Fax:775-782-1632
Practice Address - Street 1:1107 US HIGHWAY 395 N
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-5304
Practice Address - Country:US
Practice Address - Phone:775-782-1630
Practice Address - Fax:775-782-1632
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW-8531041C0700X
NV8322-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical