Jeremy Todd Campbell
Pastoral Counselor Addiction Counselor (Substance Use Disorder)
826 Deleware Ave
Fountain Hill
, Pennsylvania 18015
Jeremy Todd Campbell
Pastoral Counselor Addiction Counselor (Substance Use Disorder)
826 Deleware Ave
Fountain Hill
, Pennsylvania 18015
(610) 419-3309
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Jeremy Todd Campbell
- 219 Main St
- Metuchen, NJ
- Zip : 08840-2727
- Fax : (610) 419-3309
- Phone : (732) 887-2540
Second Address
- Jeremy Todd Campbell
- 826 Deleware Ave
- Fountain Hill, PA
- Zip : 18015
- Fax : (610) 419-3309
- Phone : (610) 419-3101
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
| N | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1053742544 |
|---|---|
| Provider Name | Jeremy Todd Campbell |
| First Address | Metuchen, NJ 08840-2727 |
| Second Address | Fountain Hill, PA 18015 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/12/2013 |
| Last Update Date | 09/12/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.