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Individual

MS. GAIL W CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LSATP

Contact information

Practice address
10390 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 219-2560
(703) 591-5755
Mailing address
10390 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 219-2560
(703) 591-5755

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0701003532
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000175
VA

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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