Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tracy Daniel Campbell, CAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861753493

Mr. Tracy Daniel Campbell, CAS is an Addiction (Substance Use Disorder) Counselor in Shasta Lake, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

5010 Shasta Dam Blvd
Shasta Lake, CA 96019-9406
Phone: (530) 275-1076
Fax: (530) 275-3717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 03-084213 (CA)

Record details

NPI number1861753493
Entity typeIndividual (Type 1)
GenderMale
Credentials CAS
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 30, 2012

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