Individual
KEEGAN DANIEL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
235 HIGH ST STE 509, MORGANTOWN, WV 26505-5454
(304) 996-3639
Mailing address
235 HIGH ST STE 509, MORGANTOWN, WV 26505-5454
(304) 996-3639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
DP00945310
WV
1041C0700X
Clinical Social Worker
Primary
DP00945310
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP00945310
WEST VIRGINIA BOARD OF SOCIAL WORK
WV
Enumeration date
03/14/2023
Last updated
05/06/2024
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