Individual
MR. CHARLES L. KOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1769 JAMESTOWN RD STE 104, WILLIAMSBURG, VA 23185-2300
(757) 871-3693
(757) 220-1476
Mailing address
4712 LADY SLIPPER PATH, WILLIAMSBURG, VA 23188-2400
(757) 871-3693
(757) 220-1476
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001333
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5401968
—
VA
Enumeration date
09/02/2006
Last updated
06/02/2025
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