Provider Demographics
NPI:1184804916
Name:CAMPBELL, CINDEE WEBSTER (LMHC)
Entity type:Individual
Prefix:
First Name:CINDEE
Middle Name:WEBSTER
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 NW 82ND ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-5583
Mailing Address - Country:US
Mailing Address - Phone:515-334-9484
Mailing Address - Fax:515-334-9498
Practice Address - Street 1:2190 NW 82ND ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-5583
Practice Address - Country:US
Practice Address - Phone:515-334-9484
Practice Address - Fax:515-334-9498
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00304101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health