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Contact Information

RANDALL A CAMPBELL JR, LICSW, CADC, CRSS
212 W TROY ST STE B
DOTHAN, AL36303-4455
 Phone: 205-394-3765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for RANDALL A CAMPBELL JR · (Male)

NPI Number 1366030124
Status Active
Credentials LICSW, CADC, CRSS
Entity Individual
Enumeration date 01/07/2021
Last updated 07/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 4477C
  • AL License # ADC-907
  • AL License # CRSS-0348
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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