Provider Information for 1811497688
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RICHARD P CAMPBELL LPC
Sex: Male
NPI: 1811497688
Last Updated: 2023-09-12
Certification Date: 2021-09-08
Certification Date: 2021-09-08
Details
| Name | Value | ||||||||
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| NPI | 1811497688 | ||||||||
| Enumeration Date | 2018-02-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 94 LONGVIEW AVE HACKENSACK, NJ 07601-1807 United States Phone: 301-266-2485 | Fax: | ||||||||
| Primary Practice Address | 94 LONGVIEW AVE HACKENSACK, NJ 07601-1807 United States Phone: 301-266-2485 | Fax: | ||||||||
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