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Jimmy Sivongsay
Counselor in Riverside, California
NPI 1871129189

Jimmy Sivongsay is a Counselor based in Perris, CA. Jimmy Sivongsay practices in Riverside, CA. The NPI Number for Jimmy Sivongsay is 1871129189 and holds a License No. (California).

The current practice location address for Jimmy Sivongsay is 6711 Arlington Ave Ste C, Riverside, CA and can be reached out via phone at 951-352-4964.

Location: 6711 Arlington Ave Ste C, Riverside, CA, 92571-2554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871129189
Provider Name
Jimmy Sivongsay
Credential
Provider Entity Type
Individual
Gender
Male
Address
6711 Arlington Ave Ste C, Riverside, CA, 92571-2554
Phone Number
951-352-4964
Fax Number
Provider Enumeration Date
03/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6711 Arlington Ave Ste C
City
Riverside
State
California
Zip
92504-1966
Phone Number
951-352-4964
Fax Number
person
Provider Business Mailing Address Details
Address
6711 Arlington Ave Ste C
City
Riverside
State
California
Zip
92504-1966
Phone Number
951-352-4964
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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