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Charlton Carlyle Campbell
Peer Specialist in Chula Vista, California
NPI 1285211029

Charlton Carlyle Campbell is a Peer Specialist based in Chula Vista, CA. Charlton Carlyle Campbell practices in Chula Vista, CA. The NPI Number for Charlton Carlyle Campbell is 1285211029 and holds a License No. (California).

The current practice location address for Charlton Carlyle Campbell is 330 Moss St, Chula Vista, CA and can be reached out via phone at 619-585-4221.

Location: 330 Moss St, Chula Vista, CA, 91911-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285211029
Provider Name
Charlton Carlyle Campbell
Credential
Provider Entity Type
Individual
Gender
Male
Address
330 Moss St, Chula Vista, CA, 91911-2005
Phone Number
619-585-4221
Fax Number
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Moss St
City
Chula Vista
State
California
Zip
91911-2005
Phone Number
619-585-4221
Fax Number
person
Provider Business Mailing Address Details
Address
330 Moss St
City
Chula Vista
State
California
Zip
91911-2005
Phone Number
619-585-4221
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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