Doctor Name: | MS. CATHY JO CAMPBELL |
NPI Number: | 1164611067 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED LPCC |
License Number: | E0001987 |
Business Practice Address: | 104 1/2 North Marietta Street Tri County Help Center Inc St Clairsville, OH - 439501218 |
Business Phone Number: | 7406955441 |
Business Fax Number: | 7406956747 |
Mailing Address: | 104 1/2 North Marietta Street, Tri County Help Center Inc ST CLAIRSVILLE |
State: | OH |
Postal Code: | 439501218 |
Phone Number: | 7406955441 |
Fax Number: | 7406956747 |
NPI Enumeration Date: | 10/17/2007 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0001987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |