Individual
JOEL CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 SOUTH FWY STE 210, FORT WORTH, TX 76115-1400
(817) 797-1512
Mailing address
PO BOX 48483, WATAUGA, TX 76148-0483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11629
TX
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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