Individual
ANDREW JERROD CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345A DELAWARE ST, IMPERIAL BEACH, CA 91932-1420
(619) 633-6166
Mailing address
345A DELAWARE ST, IMPERIAL BEACH, CA 91932-1420
(619) 633-6166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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