Individual
JASON SHANE CAMPBELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
707 E GREENWOOD, HOPE, AR 71801
(870) 777-9800
(870) 777-9811
Mailing address
2400 S. 48TH, SPRINGDALE, AR 72762
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/14/2007
Last updated
11/01/2010
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