Doctor Name: | GEORGE CAMPBELL |
NPI Number: | 1053597773 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.A.D.C. |
License Number: | |
Business Practice Address: | 11191 Illinois Route 185 Hillsboro, IL - 620492664 |
Business Phone Number: | 2175322001 |
Business Fax Number: | 2175326361 |
Mailing Address: | 11191 Illinois Route 185, HILLSBORO |
State: | IL |
Postal Code: | 620492664 |
Phone Number: | 2175322001 |
Fax Number: | 2175326361 |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 01/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |