Organization
CAMPBELL FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA APPLE (AUTHORIZED OFFICIAL)
(480) 225-8588
Entity
Organization
Contact information
Practice address
2000 W PIONEER PKWY STE 6, PEORIA, IL 61615-1883
(309) 253-2471
(309) 692-2052
Mailing address
2000 W PIONEER PKWY STE 6, PEORIA, IL 61615-1883
(309) 253-2471
(309) 692-2052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015586
IL
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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