Individual
CARLA D. CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
217 E EMMITT AVE, WAVERLY, OH 45690-1337
(740) 947-6727
(740) 835-8723
Mailing address
217 E EMMITT AVE, WAVERLY, OH 45690-1337
(740) 947-6727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165119
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2847236
—
OH
Enumeration date
11/01/2017
Last updated
11/01/2017
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