person
Antonio Kallungal
Mental Health Counselor in Gaithersburg, Maryland
NPI 1821799388

Antonio Kallungal is a Mental Health Counselor based in Gaithersburg, MD and is specialized in Mental Health. Antonio Kallungal practices in Gaithersburg, MD. The NPI Number for Antonio Kallungal is 1821799388 and holds a License No. 0704014134 (Maryland).

The current practice location address for Antonio Kallungal is 18317 Winter Park Ct, Gaithersburg, MD and can be reached out via phone at 703-705-2476.

Location: 18317 Winter Park Ct, Gaithersburg, MD, 20879-4626
person
Provider Profile Details
NPI Number
1821799388
Provider Name
Antonio Kallungal
Credential
Provider Entity Type
Individual
Gender
Male
Address
18317 Winter Park Ct, Gaithersburg, MD, 20879-4626
Phone Number
703-705-2476
Fax Number
Provider Enumeration Date
03/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18317 Winter Park Ct
City
State
Zip
20879-4626
Phone Number
703-705-2476
Fax Number
person
Provider Business Mailing Address Details
Address
18317 Winter Park Ct
City
State
Zip
20879-4626
Phone Number
703-705-2476
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0704014134 (Virginia)
Definition
Definition to come...
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