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Individual
TARA CAMPBELL
Active
Individual
TARA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.070687
OH
101YP2500X
Professional Counselor
Primary
C.1902269
OH
Other
Enumeration date
05/14/2018
Last updated
09/26/2019
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