person
Patarasiri Virutamavongsa
Mental Health Counselor in Los Angeles, California
NPI 1528472172

Patarasiri Virutamavongsa is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Patarasiri Virutamavongsa practices in Los Angeles, CA. The NPI Number for Patarasiri Virutamavongsa is 1528472172 and holds a License No. (California).

The current practice location address for Patarasiri Virutamavongsa is 1523 Corinth Ave Apt 5, Los Angeles, CA and can be reached out via phone at 310-977-8010.

Location: 1523 Corinth Ave Apt 5, Los Angeles, CA, 90025-3292
person
Provider Profile Details
NPI Number
1528472172
Provider Name
Patarasiri Virutamavongsa
Credential
Provider Entity Type
Individual
Gender
Female
Address
1523 Corinth Ave Apt 5, Los Angeles, CA, 90025-3292
Phone Number
310-977-8010
Fax Number
Provider Enumeration Date
06/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1523 Corinth Ave Apt 5
City
State
Zip
90025-3292
Phone Number
310-977-8010
Fax Number
person
Provider Business Mailing Address Details
Address
1523 Corinth Ave Apt 5
City
State
Zip
90025-3292
Phone Number
310-977-8010
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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