Individual
FROOGH A VAKILI KHATIBLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
28 E RAHN RD, SUITE 105, KETTERING, OH 45429-5461
(937) 454-0092
(937) 264-1101
Mailing address
3821 LITTLE YORK RD, DAYTON, OH 45414-2409
(937) 454-0092
(937) 264-1101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0500079
OH
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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