Individual
MR. KEITH OSO ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, BCD
Contact information
Practice address
3530 N COURTHOUSE RD, PROVIDENCE FORGE, VA 23140-3408
(804) 409-7525
(804) 315-9380
Mailing address
1731 UPLAND RD, WAXAHACHIE, TX 75165-1677
(804) 409-7525
(804) 315-9380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
08930124830
VT
1041C0700X
Clinical Social Worker
Primary
0904012219
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805996620
OSO WELLNESS, PLLC
TX
01
—
853101757
OSO WELLNESS
VA
Enumeration date
01/10/2017
Last updated
05/06/2025
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