Provider Demographics
NPI:1184772329
Name:C. G. CAMPBELL ASSOCIATES, INC
Entity type:Organization
Organization Name:C. G. CAMPBELL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:F
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMHC
Authorized Official - Phone:360-754-2102
Mailing Address - Street 1:501 COLUMBIA ST NW STE E
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1062
Mailing Address - Country:US
Mailing Address - Phone:360-754-2102
Mailing Address - Fax:360-786-1572
Practice Address - Street 1:501 COLUMBIA ST NW STE E
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1062
Practice Address - Country:US
Practice Address - Phone:360-754-2102
Practice Address - Fax:360-786-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty