Individual
LAUREN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11250 ROGER BACON DR STE 102, RESTON, VA 20190-5219
(330) 701-4429
Mailing address
919 N LINCOLN ST APT 543, ARLINGTON, VA 22201-2383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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