Provider Demographics
NPI:1629237003
Name:CAMPBELL, ANNA LORRAINE SAGUISAG
Entity Type:Individual
Prefix:MRS
First Name:ANNA LORRAINE
Middle Name:SAGUISAG
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ANNA LORRAINE
Other - Middle Name:JAVIER
Other - Last Name:SAGUISAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5615 S PECOS RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-1961
Mailing Address - Country:US
Mailing Address - Phone:702-736-8100
Mailing Address - Fax:
Practice Address - Street 1:5615 S PECOS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-1961
Practice Address - Country:US
Practice Address - Phone:702-736-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor