Individual provider · Type 1 NPI

Laury Thammavong

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1114335072 Active

Practice location

1735 Mission St
San Francisco, CA 94103-2417

Call (415) 226-1775 Map

Fax (415) 865-0119

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1-T1407081924 (CA)

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

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About NPI 1114335072

Laury Thammavong's National Provider Identifier is 1114335072, issued on Jul 23, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Jul 23, 2014.