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Phannary Lor
Mental Health Counselor in Long Beach, California
NPI 1447322177

Phannary Lor is a Mental Health Counselor based in Long Beach, CA and is specialized in Mental Health. Phannary Lor practices in Long Beach, CA. The NPI Number for Phannary Lor is 1447322177 and holds a License No. (California).

The current practice location address for Phannary Lor is 740 Gardenia Ave, Long Beach, CA and can be reached out via phone at 562-682-7503.

Location: 740 Gardenia Ave, Long Beach, CA, 90804-0941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447322177
Provider Name
Phannary Lor
Credential
Provider Entity Type
Individual
Gender
Female
Address
740 Gardenia Ave, Long Beach, CA, 90804-0941
Phone Number
562-682-7503
Fax Number
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
740 Gardenia Ave
City
Long Beach
State
California
Zip
90813-5120
Phone Number
562-682-7503
Fax Number
person
Provider Business Mailing Address Details
Address
740 Gardenia Ave
City
Long Beach
State
California
Zip
90813-5120
Phone Number
562-682-7503
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...
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