Individual
DANIELLA T'IARA HARRIS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCJ, CADC
Contact information
Practice address
1523 S FAIRMOUNT ST, DAVENPORT, IA 52802-3644
(563) 322-2667
(563) 322-3671
Mailing address
1523 S FAIRMOUNT ST, DAVENPORT, IA 52802-3644
(563) 322-2667
(563) 322-3671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15085
IA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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