Individual
MR. RALPH BLANE CAMPBELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
6700 POINT DR, EDINA, MN 55435-1629
(952) 922-1476
(952) 922-1476
Mailing address
6700 POINT DR, EDINA, MN 55435-1629
(952) 922-1476
(952) 922-1476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CD 302697
MN
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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