Campbell, Randall Ancil

Campbell, Randall Ancil is an individual health care provider with primary practice located at 212 W Troy St Ste B , Dothan AL 36303-4455. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Campbell, Randall Ancil can be contacted via phone (205) 394-3765.

Contact Information

Primary practice address
212 W Troy St Ste B Dothan AL 36303-4455
Phone: (205) 394-3765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADC-907 Alabama
Other Service Providers / Peer Specialist 175T00000X CRSS-0348 Alabama
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4477C Alabama

Profile Details

NPI number 1366030124
LBN Legal business name Campbell, Randall Ancil
Credentials LICSW, CADC, CRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2021
Last updated Jul 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers