person
Khraythong Soupholphakdy
Mental Health Counselor in Santa Rosa, California
NPI 1891902342

Khraythong Soupholphakdy is a Mental Health Counselor based in Santa Rosa, CA and is specialized in Mental Health. Khraythong Soupholphakdy practices in Santa Rosa, CA. The NPI Number for Khraythong Soupholphakdy is 1891902342 and holds a License No. (California).

The current practice location address for Khraythong Soupholphakdy is 1221 Farmers Ln, Santa Rosa, CA and can be reached out via phone at 707-565-6953. You can also correspond with Khraythong Soupholphakdy through the mailing address at 1221 FARMERS LN, SANTA ROSA, CA - 95405-6712 (mailing address contact number: 707-565-6953).

Location: 1221 Farmers Ln, Santa Rosa, CA, 95405-6712
person
Provider Profile Details
NPI Number
1891902342
Provider Name
Khraythong Soupholphakdy
Credential
Provider Entity Type
Individual
Gender
Female
Address
1221 Farmers Ln, Santa Rosa, CA, 95405-6712
Phone Number
707-565-6953
Fax Number
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 Farmers Ln
City
State
Zip
95405-6712
Phone Number
707-565-6953
Fax Number
person
Provider Business Mailing Address Details
Address
1221 Farmers Ln
City
State
Zip
95405-6712
Phone Number
707-565-6953
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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