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Individual

JEFFERY ROSS CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
5360 ENCANTO RD, SNOWFLAKE, AZ 85937-3500
(509) 981-0349
Mailing address
5360 ENCANTO RD, SNOWFLAKE, AZ 85937-3500
(509) 981-0349

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-08067T
AZ
101YM0800X
Mental Health Counselor
MC61214206
WA

Other

Enumeration date
01/15/2024
Last updated
01/15/2024
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