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Diana L Campbell
Peer Specialist in Mansfield, Ohio
NPI 1205483534

Diana L Campbell is a Peer Specialist based in Mansfield, OH. Diana L Campbell practices in Mansfield, OH. The NPI Number for Diana L Campbell is 1205483534 and holds a License No. CDCA.172747 (Ohio).

The current practice location address for Diana L Campbell is 151 Marion Ave, Mansfield, OH and can be reached out via phone at 197-749-9694 and via fax at 419-756-5642.

Location: 151 Marion Ave, Mansfield, OH, 44903-2223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205483534
Provider Name
Diana L Campbell
Credential
Provider Entity Type
Individual
Gender
Female
Address
151 Marion Ave, Mansfield, OH, 44903-2223
Phone Number
197-749-9694
Fax Number
419-756-5642
Provider Enumeration Date
08/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0367194 05 OH
institution
Provider Business Practice Location Address Details
Address
151 Marion Ave
City
Mansfield
State
Ohio
Zip
44903-2223
Phone Number
197-749-9694
Fax Number
419-756-5642
person
Provider Business Mailing Address Details
Address
151 Marion Ave
City
Mansfield
State
Ohio
Zip
44903-2223
Phone Number
197-749-9694
Fax Number
419-756-5642
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CDCA.172747 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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