Provider Demographics
NPI:1578895215
Name:CAMPBELL, SHERI ROBIN (LPC)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:ROBIN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 FIGHTING BUCK AVE # 30
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79830-3111
Mailing Address - Country:US
Mailing Address - Phone:432-837-5017
Mailing Address - Fax:
Practice Address - Street 1:1001 FIGHTING BUCK AVE # 30
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-3111
Practice Address - Country:US
Practice Address - Phone:432-837-5017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9578101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional