Campbell, Gail W
Campbell, Gail W is an sole proprietor health care provider with primary practice located at 10390 Democracy Ln , Fairfax VA 22030-2522. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Campbell, Gail W can be contacted via phone (703) 219-2560.Contact Information
Primary practice address
10390 Democracy Ln
Fairfax VA 22030-2522
Phone: (703) 219-2560
Fax: (703) 591-5755
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0701003532 | Virginia |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0718000175 | Virginia |
Profile Details
NPI number | 1932121290 |
---|---|
LBN Legal business name | Campbell, Gail W |
Credentials | LPC, LSATP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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