person
Kirby Naluck Khoonsrivong
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1265679591

Kirby Naluck Khoonsrivong is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Kirby Naluck Khoonsrivong practices in Stockton, CA. The NPI Number for Kirby Naluck Khoonsrivong is 1265679591 and holds a License No. (California).

The current practice location address for Kirby Naluck Khoonsrivong is 10309 Big Oak Cir, Stockton, CA and can be reached out via phone at 209-513-2680.

Location: 10309 Big Oak Cir, Stockton, CA, 95209-4560
person
Provider Profile Details
NPI Number
1265679591
Provider Name
Kirby Naluck Khoonsrivong
Credential
Provider Entity Type
Individual
Gender
Male
Address
10309 Big Oak Cir, Stockton, CA, 95209-4560
Phone Number
209-513-2680
Fax Number
Provider Enumeration Date
01/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10309 Big Oak Cir
City
State
Zip
95209-4560
Phone Number
209-513-2680
Fax Number
person
Provider Business Mailing Address Details
Address
10309 Big Oak Cir
City
State
Zip
95209-4560
Phone Number
209-513-2680
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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