Provider Demographics
NPI:1760934624
Name:CAMPBELL, CHRISTOPHER (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 EXECUTIVE CENTER DR STE 303
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4303
Mailing Address - Country:US
Mailing Address - Phone:501-506-1587
Mailing Address - Fax:501-298-2165
Practice Address - Street 1:10801 EXECUTIVE CENTER DR STE 303
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4303
Practice Address - Country:US
Practice Address - Phone:501-506-1587
Practice Address - Fax:501-298-2165
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2101144101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional