Individual
JESSICA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1410 INCARNATION DR STE 206, CHARLOTTESVILLE, VA 22901-5708
(434) 260-1296
(844) 804-3071
Mailing address
1410 INCARNATION DR STE 206, CHARLOTTESVILLE, VA 22901-5708
(434) 260-1296
(844) 804-3071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010511
VA
Other
Enumeration date
06/21/2018
Last updated
01/04/2021
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