Individual
AMANDA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LACA
Contact information
Practice address
4705 MEIJER CT, LAFAYETTE, IN 47905-4684
(765) 701-6060
Mailing address
4705 MEIJER CT # 47905, LAFAYETTE, IN 47905-4684
(765) 701-6060
(765) 701-6060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86900042A
IN
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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