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DANIELLA T'IARA HARRIS CAMPBELL MCJ CADC NPI 1386142529


NPI Information

NPI: 1386142529
Provider Name: DANIELLA T'IARA HARRIS CAMPBELL, MCJ, CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1523 S FAIRMOUNT ST
DAVENPORT, IA
ZIP 52802
Phone: (563) 322-2667
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Daniella T'iara Harris Campbell, MCJ, CADC is an addiction (substance use disorder) counselor in Davenport, IA. Daniella T'iara Harris Campbell, MCJ, CADC NPI is 1386142529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1523 S FAIRMOUNT ST
DAVENPORT, IA
ZIP 52802-644
Phone: (563) 322-2667
Fax: (563) 322-3671

The enumeration date for this NPI number is 1/23/2018 and was last updated on 1/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)15085IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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