Individual
ELVIN EMANUEL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, BSW, AAS, PRSS
Contact information
Practice address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 610-9964
(304) 768-7647
Mailing address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 610-9964
(304) 768-7647
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
WV
Enumeration date
12/21/2022
Last updated
12/21/2022
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