Provider Demographics
NPI:1891522165
Name:CAMPBELL, KATHRYN PLAYER (LPCA)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:PLAYER
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:LEIGH
Other - Last Name:PLAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4296 LAVENDER LN
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-8223
Mailing Address - Country:US
Mailing Address - Phone:843-460-8918
Mailing Address - Fax:
Practice Address - Street 1:5421 RIVER BLUFF PKWY
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-7135
Practice Address - Country:US
Practice Address - Phone:843-300-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health