# MR. RANDALL ANCIL CAMPBELL JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366030124
- **Gender:** Man
- **Credential:** LICSW, CADC, CRSS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ADC-907 | AL | — |
| 1041C0700X | Clinical Social Worker | 4477C | AL | Yes |
| 175T00000X | Peer Specialist | CRSS-0348 | AL | — |

## Other

- **Enumeration date:** 01/07/2021
- **Last updated:** 07/16/2024