Provider Demographics
NPI:1558554535
Name:CAMPOS OUTCALT, FRANCES ANN (SCHOOL GUIDANCE CERT)
Entity Type:Individual
Prefix:MR
First Name:FRANCES
Middle Name:ANN
Last Name:CAMPOS OUTCALT
Suffix:
Gender:F
Credentials:SCHOOL GUIDANCE CERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12229 S CHINOOK CT
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-3005
Mailing Address - Country:US
Mailing Address - Phone:480-598-8521
Mailing Address - Fax:
Practice Address - Street 1:3839 W CAMELBACK RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85019-2512
Practice Address - Country:US
Practice Address - Phone:602-764-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool