Antonio Kallungal
Antonio Kallungal is a Mental Health Counselor in Gaithersburg, Maryland. Licensed in Virginia. Registered with an NPI since 2023.
- Licensed in
- VA
- In the registry since
- 2023
Practice location Address checks out
18317 Winter Park CtGaithersburg, MD 20879-4626
Phone: (703) 705-2476
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 0704014134 (VA) |
|---|
Record details
| NPI number | 1821799388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 13, 2023 |
| Last updated in NPPES | March 13, 2023 |
| Certification date | March 13, 2023 |
| Mailing address | 18317 Winter Park Ct, Gaithersburg, MD 20879-4626 |
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