Individual provider · Type 1 NPI
Charla Raeann Killian, M.A., LPC
Professional Counselor · Tyler, TX
NPI number
1205430774
Active
Practice location
16075 Old Jacksonville
Tyler, TX 75762
Mailing address
597 Circle Dr
Bullard, TX 75757-5505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 79596 (TX) |
Professional Counselor: Definition to come...
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About NPI 1205430774
Charla Raeann Killian, M.A., LPC's National Provider Identifier is 1205430774, issued on Nov 25, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Nov 25, 2020.