Individual
CHRYSTAL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 MEDICAL DR, HAMPTON, VA 23666-1763
(757) 788-0200
Mailing address
300 MEDICAL DR, HAMPTON, VA 23666-1765
(757) 788-0300
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659424448
—
VA
Enumeration date
05/26/2021
Last updated
05/26/2021
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