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Individual

MS. SATSATNAM K. KHALSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CSAC, LSATP

Contact information

Practice address
11975 BOWMAN TOWNE DR, RESTON, VA 20190-3306
(571) 323-1392
(703) 437-7315
Mailing address
11975 BOWMAN TOWNE DR, RESTON, VA 20190-3306
(571) 323-1392
(703) 437-7315

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000186
VA

Other

Enumeration date
11/20/2007
Last updated
11/20/2007
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