Provider Demographics
NPI:1205160348
Name:CAMPBELL, KARLA (MA)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 DISCOVERY PL
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-8324
Mailing Address - Country:US
Mailing Address - Phone:425-213-8371
Mailing Address - Fax:877-724-9988
Practice Address - Street 1:16300 MILL CREEK BLVD STE 204
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1294
Practice Address - Country:US
Practice Address - Phone:425-213-8371
Practice Address - Fax:877-724-9988
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60116873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health