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Individual

SAMANTHA CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8500 AL PHILPOTT HWY STE 3, MARTINSVILLE, VA 24112-1495
(276) 226-9925
Mailing address
6555 ABERCORN ST, SUITE 129, SAVANNAH, GA 31405-5713

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701014240
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
0701014240
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0701014240
VA
Enumeration date
01/17/2017
Last updated
02/10/2025
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