Provider Demographics
NPI:1760646335
Name:CAMPBELL, ADELLE C (MS)
Entity Type:Individual
Prefix:
First Name:ADELLE
Middle Name:C
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 HAMPDEN DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-9301
Mailing Address - Country:US
Mailing Address - Phone:717-286-4178
Mailing Address - Fax:
Practice Address - Street 1:1651 HAMPDEN DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-9301
Practice Address - Country:US
Practice Address - Phone:717-286-4178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2009-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor