Chanthouen Pen is a Counselor based in Stockton, CA. Chanthouen Pen practices in Stockton, CA. The NPI Number for Chanthouen Pen is 1588812457 and holds a License No. (California).
The current practice location address for Chanthouen Pen is 3830 Alvarado Ave Ste C, Stockton, CA and can be reached out via phone at 209-944-1700.
Location: 3830 Alvarado Ave Ste C, Stockton, CA, 95204-2350
Provider Profile Details
NPI Number
1588812457
Provider Name
Chanthouen Pen
Credential
Provider Entity Type
Individual
Gender
Male
Address
3830 Alvarado Ave Ste C, Stockton, CA, 95204-2350
Phone Number
209-944-1700
Fax Number
Provider Enumeration Date
09/04/2008
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
3830 Alvarado Ave Ste C
City
State
Zip
95204-2350
Phone Number
209-944-1700
Fax Number
Provider Business Mailing Address Details
Address
3830 Alvarado Ave Ste C
City
State
Zip
95204-2350
Phone Number
209-944-1700
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
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Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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