Organization
CAMPBELL THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON GEORGE CAMPBELL MA LPC (OWNER)
(616) 240-9044
Entity
Organization
Contact information
Practice address
2874 PORT SHELDON ST STE E, HUDSONVILLE, MI 49426-7898
(616) 240-9044
Mailing address
4074 PONCA DR SW, GRANDVILLE, MI 49418-1758
(616) 240-9044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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