Individual
CARLOS CAMPOS JR.
Active
Individual
CARLOS CAMPOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0129141
NM
104100000X
Social Worker
X-07222
NM
1041C0700X
Clinical Social Worker
Primary
C-08875
NM
Other
Enumeration date
01/26/2011
Last updated
02/24/2016
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