Chomsanith Phouangkeo
NPI #1013053065 in Richmond, California
Provider Information
- NPI Number
- 1013053065
- Entity Type
- Individual
- Name
- Chomsanith Phouangkeo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3905 MACDONALD AVE
- City
- Richmond
- State
- California
- ZIP Code
- 94805-2229
- Phone
- (510) 233-7555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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