Individual
DIANA L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(197) 749-9694
(419) 756-5642
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.172747
OH
175T00000X
Peer Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0367194
—
OH
Enumeration date
08/21/2019
Last updated
03/18/2021
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