| Jackie Campbell Counseling | |
|
9000 Glacier Hwy Ste 305 Juneau AK 99801-8097 | |
| (907) 209-0246 | |
| Not Available |
| Full Name | Jackie Campbell Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 9000 Glacier Hwy Ste 305, Juneau, Alaska |
| Authorized Official Name and Position | Jacqueline Marie Campbell (COUNSELOR) |
| Authorized Official Contact | 9072090246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Campbell Counseling 9000 Glacier Hwy Ste 305 Juneau AK 99801-8097 Ph: (907) 209-0246 | Jackie Campbell Counseling 9000 Glacier Hwy Ste 305 Juneau AK 99801-8097 Ph: (907) 209-0246 |
| NPI Number | 1184178014 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 03/24/2021 |
| Certification Date | 03/24/2021 |
| Medicare PECOS PAC ID | 5395153373 |
|---|---|
| Medicare Enrollment ID | O20210412000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184178014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 107659 (Alaska) | Primary |
| Provider Name | Jacqueline Marie Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720401680 PECOS PAC ID: 8729348859 Enrollment ID: I20210412000939 |
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