Individual
HEATHER WALLACE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
205 E WATER ST, SUITE 103, CENTREVILLE, MD 21617-1155
(410) 739-9068
(410) 648-6862
Mailing address
205 E WATER ST, SUITE 103, CENTREVILLE, MD 21617-1155
(410) 739-9068
(410) 648-6862
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1647
MD
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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