Doctor Name: | MS. JANET MARIE CAMPBELL |
NPI Number: | 1710234059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWA, LCAS-R |
License Number: | P006913 |
Business Practice Address: | 22421 Andrew Jackson Hwy Maxton, NC - 283646721 |
Business Phone Number: | 9108442008 |
Business Fax Number: | |
Mailing Address: | P.o. Box 243, Hwy 71 S 8236 RED SPRINGS |
State: | NC |
Postal Code: | 283770243 |
Phone Number: | 9103168807 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2012 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P006913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |