Individual
MARY LYNN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS 30162
Contact information
Practice address
1532 VANDENBERG DR, FAYETTEVILLE, NC 28312-7639
(472) 208-7904
Mailing address
1532 VANDENBERG DR, FAYETTEVILLE, NC 28312-7639
(472) 208-7904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30162
NC
Other
Enumeration date
05/25/2021
Last updated
12/24/2024
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