Individual
JAN CAMPBELL-HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 E MOUND ST, COLUMBUS, OH 43215-5595
(614) 242-1284
Mailing address
455 E MOUND ST, COLUMBUS, OH 43215-5595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.161629
OH
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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