Individual
ALICE ANN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
2530 S COMMERCE, BLDG. C, ARDMORE, OK 73401
(580) 226-5048
(580) 226-3569
Mailing address
2530 S COMMERCE BLDG A, ARDMORE, OK 73401
(580) 226-5048
(580) 226-3569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
OK
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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