Individual
MR. JOHN RUSSELL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11920 BURT ST, SUITE 160, OMAHA, NE 68154-1598
(402) 991-5960
Mailing address
11920 BURT ST, SUITE 160, OMAHA, NE 68154-1598
(402) 991-5960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2879
NE
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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