Provider Demographics
NPI:1942999826
Name:QUERY, CAMPBELL
Entity type:Individual
Prefix:
First Name:CAMPBELL
Middle Name:
Last Name:QUERY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 DUNBAR CAVE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8830
Mailing Address - Country:US
Mailing Address - Phone:859-338-7546
Mailing Address - Fax:
Practice Address - Street 1:223 DUNBAR CAVE RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8830
Practice Address - Country:US
Practice Address - Phone:859-338-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health