Individual
BRENT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 589-3008
Mailing address
4725 BELLEVUE AVE, LOUISVILLE, KY 40215-2409
(502) 366-8760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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