MR. JUAN MANUEL CAMPOS MFTINT - NPI 1508983594

Q: What is Juan Campos's NPI number?

The NPI number for Juan Campos is 1508983594. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Juan Campos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Juan Campos was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Juan Manuel Campos Mftint NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUAN MANUEL CAMPOS MFTINT (NPI 1508983594) is an individual mental health provider in Modesto, California, licensed in California (IMF43209) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1508983594

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JUAN MANUEL CAMPOSCredential: MFTINT

Location Address1501 CLAUS RDModesto, CA 95355-9711

Mailing Address2144 Cobblestone MnrModesto, CA 95355-9185 · (209) 551-4223

Phone(209) 558-4600

Fax(209) 558-4729

Sole ProprietorYes

Enumeration DateMarch 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508983594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · IMF43209

1501 CLAUS RD, Modesto, CA 95355

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NUSRAT MALIK M.D.

Psychiatry & Neurology (Psychiatry)

1501 CLAUS RD, DBHC
MODESTO, CA 95355

Stanislaus County (209) 557-6300

ELLA BATH-SHEVA SEVERSON

Psychiatry & Neurology (Psychiatry)