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Khoeun Chhan Baeza
Mental Health Counselor in Clovis, California
NPI 1487310496

Khoeun Chhan Baeza is a Mental Health Counselor based in Clovis, CA and is specialized in Mental Health. Khoeun Chhan Baeza practices in Clovis, CA. The NPI Number for Khoeun Chhan Baeza is 1487310496 and holds a License No. LMFT111805 (California).

The current practice location address for Khoeun Chhan Baeza is 3802 Duncan Ave, Clovis, CA and can be reached out via phone at 559-917-0740.

Location: 3802 Duncan Ave, Clovis, CA, 93619-5174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487310496
Provider Name
Khoeun Chhan Baeza
Credential
Provider Entity Type
Individual
Gender
Female
Address
3802 Duncan Ave, Clovis, CA, 93619-5174
Phone Number
559-917-0740
Fax Number
Provider Enumeration Date
11/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3802 Duncan Ave
City
Clovis
State
California
Zip
93619-5174
Phone Number
559-917-0740
Fax Number
person
Provider Business Mailing Address Details
Address
3802 Duncan Ave
City
Clovis
State
California
Zip
93619-5174
Phone Number
559-917-0740
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LMFT111805 (California)
Definition
Definition to come...
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