Campbell, Brandi

Campbell, Brandi is an individual health care provider with primary practice located at 408 E Vine St , Vienna IL 62995-1612. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Campbell, Brandi can be contacted via phone (618) 658-2611.

Contact Information

Primary practice address
408 E Vine St Vienna IL 62995-1612
Phone: (618) 658-2611
Fax: (618) 658-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1184822447
LBN Legal business name Campbell, Brandi
Credentials BA, MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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