Individual
CARLETON THOMAS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 N 6TH AVE, STEUBENVILLE, OH 43952-1846
(330) 424-1468
Mailing address
964 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
(330) 424-9844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.165351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.165351
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
03/20/2018
Last updated
11/26/2018
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