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Individual

JONATHAN RANDOLPH CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC CANDIDATE

Contact information

Practice address
1016 SW 44TH ST STE 500, OKLAHOMA CITY, OK 73109-3615
(405) 605-4249
Mailing address
326 N PHILADELPHIA AVE APT B, SHAWNEE, OK 74801-7032
(405) 585-3195

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11928
OK

Other

Enumeration date
01/09/2024
Last updated
01/11/2024
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