Individual
DR. JONATHAN M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
256 MARSH LILY DR, SYLVA, NC 28779-9477
(828) 631-1422
Mailing address
261 LOG CABIN LN, CULLOWHEE, NC 28723-6728
(706) 612-8961
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5572
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
5572
NC
Other
Enumeration date
02/01/2025
Last updated
02/01/2025
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