location
search-icon
person
Michelle Lane Phommachit
Addiction (Substance Use Disorder) Counselor in San Leandro, California
NPI 1326639956

Michelle Lane Phommachit is an Addiction (Substance Use Disorder) Counselor based in Fremont, CA and is specialized in Addiction (Substance Use Disorder). Michelle Lane Phommachit practices in San Leandro, CA. The NPI Number for Michelle Lane Phommachit is 1326639956 and holds a License No. 11468 (California).

The current practice location address for Michelle Lane Phommachit is 2035 Fairmont Dr # Sr, San Leandro, CA and can be reached out via phone at 866-866-7496.

Location: 2035 Fairmont Dr # Sr, San Leandro, CA, 94538-2243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326639956
Provider Name
Michelle Lane Phommachit
Credential
Provider Entity Type
Individual
Gender
Female
Address
2035 Fairmont Dr # Sr, San Leandro, CA, 94538-2243
Phone Number
866-866-7496
Fax Number
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2035 Fairmont Dr # Sr
City
San Leandro
State
California
Zip
94578-1088
Phone Number
866-866-7496
Fax Number
person
Provider Business Mailing Address Details
Address
2035 Fairmont Dr # Sr
City
San Leandro
State
California
Zip
94578-1088
Phone Number
866-866-7496
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
11468 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.