Jesse Gene Campbell

NPI #1891271177 in San Dimas, California

Provider Information

NPI Number: 1891271177
Entity Type: Individual
Name: Jesse Gene Campbell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jul 19, 2018
Last Updated: Jul 19, 2018

Practice Location

Address: 740 N AMELIA AVE
City: San Dimas
State: California
ZIP Code: 91773-1700
Phone: (909) 506-5109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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