Doctor Name: | CHRISTOPHER D. CAMPBELL |
NPI Number: | 1225183858 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CAC-S |
License Number: | 92-105 |
Business Practice Address: | 725 Yokum St Elkins, WV - 262413353 |
Business Phone Number: | 3046363232 |
Business Fax Number: | 3046369243 |
Mailing Address: | 312 Main St, ELKINS |
State: | WV |
Postal Code: | 262413129 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 92-105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |