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Individual
MR. RANDALL ANCIL CAMPBELL JR.
Active
Individual
MR. RANDALL ANCIL CAMPBELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, CADC, CRSS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-907
AL
1041C0700X
Clinical Social Worker
Primary
4477C
AL
175T00000X
Peer Specialist
CRSS-0348
AL
Other
Enumeration date
01/07/2021
Last updated
07/16/2024
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