Individual provider · Type 1 NPI

Jason Shane Campbell Iv, MHPP

Mental Health Counselor · Hope, AR

NPI number 1073646253 Active

Practice location

707 E Greenwood
Hope, AR 71801

Fax (870) 777-9811

Mailing address

2400 S. 48th
Springdale, AR 72762

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073646253

Jason Shane Campbell Iv, MHPP's National Provider Identifier is 1073646253, issued on Mar 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hope, AR. The record was last updated on Nov 1, 2010.