Doctor Name: | MARTHA CAMPBELL |
NPI Number: | 1235553645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LCDCIII |
License Number: | C.0005211 |
Business Practice Address: | 1946 N 13th St Ste 420 Toledo, OH - 436047264 |
Business Phone Number: | 4197209247 |
Business Fax Number: | 4197200304 |
Mailing Address: | 1946 N 13th St Ste 420, TOLEDO |
State: | OH |
Postal Code: | 436047264 |
Phone Number: | 4197209247 |
Fax Number: | 4197200304 |
NPI Enumeration Date: | 02/06/2014 |
NPI Last Update Date: | 02/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C.0005211 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
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 |