Individual
JEREMY TODD CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 DELEWARE AVE, FOUNTAIN HILL, PA 18015
(610) 419-3101
(610) 419-3309
Mailing address
219 MAIN ST, METUCHEN, NJ 08840-2727
(732) 887-2540
(610) 419-3309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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