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1558463430
CHARLES L. KOAH
WILLIAMSBURG, VA
NPI
1558463430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701001333)
Enumeration Date
2006-09-02
Last Update Date
2007-07-09
Business Address
Mr. CHARLES L. KOAH LPC
1769 JAMESTOWN RD STE 104
WILLIAMSBURG, VA 23185-2300
Phone number: 757-871-3693
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Mailing Address
Mr. CHARLES L. KOAH LPC
4712 LADY SLIPPER PATH
WILLIAMSBURG, VA 23188-2400
Phone number: 757-871-3693
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