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Individual

GINA D CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
49 JOHNSON RD, THE PLAINS, OH 45780-1146
(740) 764-4529
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190417
OH
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2864002
OH
Enumeration date
02/27/2018
Last updated
11/12/2024
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