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Individual

MRS. TYESHA L CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
828 EVARTS ST NE, WASHINGTON, DC 20018-1722
(202) 529-2972
Mailing address
1211 IVY CLUB LN APT 2123, HYATTSVILLE, MD 20785-4514
(202) 438-7445

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14904
DC

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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