Provider Demographics
NPI:1295228195
Name:CAMPBELL, AAREN NICOLE
Entity Type:Individual
Prefix:
First Name:AAREN
Middle Name:NICOLE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 HENRY ST APT 5
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45403-2343
Mailing Address - Country:US
Mailing Address - Phone:937-443-0386
Mailing Address - Fax:937-443-0332
Practice Address - Street 1:166 HENRY ST APT 5
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45403-2343
Practice Address - Country:US
Practice Address - Phone:937-443-0386
Practice Address - Fax:937-443-0332
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-14
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health