Shushan Campbell, PH.D., LCP

NPI 1265849822 · on the registry since 2014 · sole proprietor

Practice

Address: 10521 Rosehaven St Ste 100
Fairfax, VA 22030
Phone: (703) 352-3822
Organisation at this address: Progenix Llc
H3 Nutrition, Llc
Excel Rehabilitation, Pllc
Child & Family Counseling Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia