Individual provider · Type 1 NPI

Jesse Gene Campbell

Addiction (Substance Use Disorder) Counselor · San Dimas, CA

NPI number 1891271177 Active

Practice location

740 N Amelia Ave
San Dimas, CA 91773-1700

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891271177

Jesse Gene Campbell's National Provider Identifier is 1891271177, issued on Jul 19, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Dimas, CA. The record was last updated on Jul 19, 2018.