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Individual

MS. GURUSHER KAUR KHALSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPC

Contact information

Practice address
457B CARLISLE DR, HERNDON, VA 20170-4819
(703) 742-7599
(703) 464-5822
Mailing address
457B CARLISLE DR, HERNDON, VA 20170-4819
(703) 742-7599
(703) 464-5822

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002800
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146434
ANTHEMBLUECROSS
VA
01
2131454
MAMSI
MD
01
243323000
MAGELLAN
MD
01
373287
MHN
DC
01
4065098
AETNA
TX
01
699849
NCPPO
VA
01
K3990001
CAREFIRSTBLUECROSS
MD
Enumeration date
07/08/2006
Last updated
07/08/2007
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