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MARC CAMPBELL

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1710551189

Individual Registrant:
 MARC  CAMPBELL 
Gender: M
Sole Proprietor

Location and contact information for practice:
34323 ALICANTE CT  SORRENTO, FL 32776-6913 US
Tel: 904-525-9997  Fax: --

Contact information for business:
34323 ALICANTE CT  SORRENTO, FL 32776-6913 US
Tel: 904-525-9997  Fax: --

Registration Information:
NPI: 1710551189
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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