Individual
DAMIEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 E MAIN ST, THIRD FLOOR, LEXINGTON, KY 40507-1318
(859) 233-0444
Mailing address
140 E MAIN ST, THIRD FLOOR, LEXINGTON, KY 40507-1318
(859) 233-0444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
04/11/2017
Last updated
04/11/2017
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