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Individual

JUDITH P CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMFT, LSATP

Contact information

Practice address
234 SWEET HILLS DR, AMHERST, VA 24521-3284
(434) 929-0355
(434) 929-0357
Mailing address
PO BOX 128, MONROE, VA 24574-0128
(434) 942-6369

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002485
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010221030
VA
01
186483
ANTHEM PROVIDER NUMBER
01
20-3639329
PCHP PROVIDER NUMBER
01
203639329001
TRICARE PROVIDER NUMBER
01
2129118
CIGNA BEHAVIOR PROVIDER N
01
464154
VALUE OPTIONS PROVIDER NU
01
86528M
SENTARA/OPTIMA PROVIDER N
Enumeration date
08/11/2005
Last updated
04/28/2023
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