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Tommy Phoukhaothong Panyanouvong
Mental Health Counselor in Modesto, California
NPI 1407126469

Tommy Phoukhaothong Panyanouvong is a Mental Health Counselor based in Modesto, CA and is specialized in Mental Health. Tommy Phoukhaothong Panyanouvong practices in Modesto, CA. The NPI Number for Tommy Phoukhaothong Panyanouvong is 1407126469 and holds a License No. MPSS-IUXREV (California).

The current practice location address for Tommy Phoukhaothong Panyanouvong is 1300 Payne Ave, Modesto, CA and can be reached out via phone at 209-541-0662.

Location: 1300 Payne Ave, Modesto, CA, 95350-6131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407126469
Provider Name
Tommy Phoukhaothong Panyanouvong
Credential
Provider Entity Type
Individual
Gender
Male
Address
1300 Payne Ave, Modesto, CA, 95350-6131
Phone Number
209-541-0662
Fax Number
Provider Enumeration Date
01/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 Payne Ave
City
Modesto
State
California
Zip
95351-4821
Phone Number
209-541-0662
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Payne Ave
City
Modesto
State
California
Zip
95351-4821
Phone Number
209-541-0662
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
MPSS-IUXREV (California)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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