Kelly Keomuangchanh
NPI #1053060202 in Ceres, California
Provider Information
- NPI Number
- 1053060202
- Entity Type
- Individual
- Name
- Kelly Keomuangchanh
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 23, 2022
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 1768 MITCHELL RD STE 301
- City
- Ceres
- State
- California
- ZIP Code
- 95307-2156
- Phone
- (209) 353-4838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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