Individual
GWEN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3482 URBANA PIKE, FREDERICK, MD 21704-7771
(570) 446-0946
Mailing address
3482 URBANA PIKE, FREDERICK, MD 21704-7771
(570) 446-0946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3022
MD
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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