| Doctor Name: | ANDREA CAMPBELL |
| NPI Number: | 1013290626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6801090251 |
| Business Practice Address: | 500 Hancock St Saginaw, MI - 486024224 |
| Business Phone Number: | 9897973526 |
| Business Fax Number: | |
| Mailing Address: | 5174 Clara Dr, SAGINAW |
| State: | MI |
| Postal Code: | 486386101 |
| Phone Number: | 9897973526 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2011 |
| NPI Last Update Date: | 09/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801090251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |