Provider Demographics
NPI:1578144473
Name:CAMPBELL, ERIC LYDELL (CPLC,LPC,CPF)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:LYDELL
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:CPLC,LPC,CPF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 DEMOCRACY BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1572
Mailing Address - Country:US
Mailing Address - Phone:443-863-1545
Mailing Address - Fax:
Practice Address - Street 1:6701 DEMOCRACY BLVD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1572
Practice Address - Country:US
Practice Address - Phone:443-863-1545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional