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Individual

MR. CHESTER F. CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
7811 CORAL WAY STE 106, MIAMI, FL 33155-6540
(305) 412-0138
Mailing address
7811 CORAL WAY STE 106, MIAMI, FL 33155-6540
(305) 412-0138

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7631
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952503633
NPI GROUP PRACTICE IDENTIFICATION
FL
Enumeration date
02/09/2016
Last updated
09/06/2019
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