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Contact Information

CHARLA R KILLIAN, M.A., LPC
16075 OLD JACKSONVILLE
TYLER, TX75762
 Phone: 903-521-3550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CHARLA R KILLIAN · (Female)

NPI # 1205430774
Status Active
Credentials M.A., LPC
Entity Individual
Enumeration date 11/25/2020
Last updated 11/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 79596
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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