Individual
SUSAN CAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC, NCGC-II
Contact information
Practice address
7570 147TH ST W, SUITE 307, APPLE VALLEY, MN 55124-7560
(612) 267-7952
Mailing address
7570 147TH ST W, SUITE 307, APPLE VALLEY, MN 55124-7560
(612) 267-7952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302633
MN
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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