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Elton M Phoprom
Counselor in Suisun City, California
NPI 1942822390

Elton M Phoprom is a Counselor based in Suisun City, CA. Elton M Phoprom practices in Suisun City, CA. The NPI Number for Elton M Phoprom is 1942822390 and holds a License No. (California).

The current practice location address for Elton M Phoprom is 1520 Montebello Dr, Suisun City, CA and can be reached out via phone at 707-863-2656.

Location: 1520 Montebello Dr, Suisun City, CA, 94585-3008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942822390
Provider Name
Elton M Phoprom
Credential
Provider Entity Type
Individual
Gender
Male
Address
1520 Montebello Dr, Suisun City, CA, 94585-3008
Phone Number
707-863-2656
Fax Number
Provider Enumeration Date
05/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1520 Montebello Dr
City
Suisun City
State
California
Zip
94585-3008
Phone Number
707-863-2656
Fax Number
person
Provider Business Mailing Address Details
Address
1520 Montebello Dr
City
Suisun City
State
California
Zip
94585-3008
Phone Number
707-863-2656
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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