Individual provider · Type 1 NPI

Sophea Onna Oum

Mental Health Counselor · Stockton, CA

NPI number 1255587101 Active

Practice location

4422 N Pershing Ave
Stockton, CA 95207-6954

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255587101

Sophea Onna Oum's National Provider Identifier is 1255587101, issued on Aug 12, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Aug 12, 2008.