Individual provider · Type 1 NPI

Kelly Keomuangchanh

Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI number 1053060202 Active

Practice location

1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156

Call (209) 353-4838 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

28 other providers at this address

Other addiction (substance use disorder) counselor providers in Ceres

See all in Ceres →

About NPI 1053060202

Kelly Keomuangchanh's National Provider Identifier is 1053060202, issued on Mar 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ceres, CA. The record was last updated on Dec 10, 2024.