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NPI Code Detail

MEDICARE: HEATHER CAMPBELL

MEDICARE: HEATHER CAMPBELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1205371416
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER CAMPBELL
Provider Business Mailing Address
First Line : 960 BOARDMAN CANFIELD RD
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-4220
Country : US
Telephone Number : 330-953-3300
Fax Number :
Provider Business Practice Location Address
First Line : 960 BOARDMAN CANFIELD RD
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-4220
Country : US
Telephone Number : 330-953-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2016
Last Update Date : 12/23/2016

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Directions to “ HEATHER CAMPBELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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