Individual
MR. JOHN WILLIS KONKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10129 ROGERS DRIVE, NASSAWADOX, VA 23413
(757) 442-3636
(757) 442-2932
Mailing address
PO BOX 453, NASSAWADOX, VA 23413-0453
(757) 442-3636
(757) 442-2932
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006645
VA
Other
Enumeration date
08/30/2016
Last updated
11/21/2023
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