Provider Demographics
NPI:1447725692
Name:CAMPBELL, HANNAH CAREY (LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:CAREY
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31853
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-0853
Mailing Address - Country:US
Mailing Address - Phone:310-488-7500
Mailing Address - Fax:
Practice Address - Street 1:2308 CLIFTON FORGE DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-3120
Practice Address - Country:US
Practice Address - Phone:310-488-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9833101YP2500X
CA120400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional