Most Relevant Information
Provider Data
| NPI Number: | 1003306408 |
| Provider Name: | KATHERINE CAMPBELL |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2018 |
| Last Updated: | 05/11/2018 |
Provider Practice Location
102 HERITAGE WAY NE STE 302
LEESBURG
VA
201764544
Practice Location Phone/Fax
| Phone: | 5715773402 |
| Fax: |
Provider Mailing Location
102 HERITAGE WAY NE STE 302
LEESBURG
VA
201764544
Provider Mailing Phone/Fax
| Phone: | 5715773402 |
| Fax: |