Individual
KADIJAH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
622-624 VALLEY RD STE 5G-5H, UPPER MONTCLAIR, NJ 07043-1462
(732) 674-9857
Mailing address
622-624 VALLEY RD STE 5G-5H, UPPER MONTCLAIR, NJ 07043-1462
(908) 922-6404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00803600
NJ
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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