Koah, Charles L.

Koah, Charles L. is an sole proprietor health care provider with primary practice located at 1769 Jamestown Rd Ste 104 , Williamsburg VA 23185-2300. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Koah, Charles L. can be contacted via phone (757) 871-3693.

Contact Information

Primary practice address
1769 Jamestown Rd Ste 104 Williamsburg VA 23185-2300
Phone: (757) 871-3693
Fax: (757) 220-1476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701001333 Virginia

Profile Details

NPI number 1558463430
LBN Legal business name Koah, Charles L.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558463430 NPPES
Virginia MEDICAID 5401968

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