Individual
JARED MICHAEL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1833 N PARIS AVE, PORT ROYAL, SC 29935-2029
(854) 205-4403
Mailing address
1833 N PARIS AVE, PORT ROYAL, SC 29935-2029
(854) 205-4403
(843) 522-1460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
CSW006851
GA
1041C0700X
Clinical Social Worker
Primary
LISWCP15870
SC
Other
Enumeration date
05/11/2015
Last updated
04/06/2026
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