Individual
STEPHANIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
1412 CRAIN HWY N STE 1B, GLEN BURNIE, MD 21061-9306
(410) 766-6624
(410) 766-0240
Mailing address
1412 CRAIN HWY N STE 1B, GLEN BURNIE, MD 21061-9306
(410) 766-6624
(410) 766-0240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0283
MD
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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