Individual
FREIDA N CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
618 N. GREEN STREET, HENDERSON, KY 42420-4242
(270) 826-8314
Mailing address
2374 DUNDONNELL DR, HENDERSON, KY 42420-2524
(270) 860-0628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164700
KY
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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