Individual
KHALIL KARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4835 WATERLICK RD STE A, FOREST, VA 24551-1696
(512) 787-3454
Mailing address
4835 WATERLICK RD STE A, FOREST, VA 24551-1696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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