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Individual
JAMES A CAMPBELL
Active
Individual
JAMES A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22210
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616824
BLUE SHIELD
IL
Enumeration date
07/19/2011
Last updated
07/19/2011
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