Provider Demographics
NPI:1750440137
Name:CAMPBELL, JOANN LEE (LMHC)
Entity type:Individual
Prefix:MS
First Name:JOANN
Middle Name:LEE
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 1:11530 WILSON CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-7391
Mailing Address - Country:US
Mailing Address - Phone:509-638-6125
Mailing Address - Fax:
Practice Address - Street 1:2302 W DOLARWAY RD STE 2
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-8081
Practice Address - Country:US
Practice Address - Phone:509-730-2291
Practice Address - Fax:509-593-4676
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004954101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health