Individual provider · Type 1 NPI

Chomsanith Phouangkeo

Mental Health Counselor · Richmond, CA

NPI number 1013053065 Active

Practice location

3905 Macdonald Ave
Richmond, CA 94805-2229

Fax (510) 233-4545

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013053065

Chomsanith Phouangkeo's National Provider Identifier is 1013053065, issued on Jan 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Jul 8, 2007.