Individual provider · Type 1 NPI

Kirby Naluck Khoonsrivong

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1265679591 Active

About NPI 1265679591

Kirby Naluck Khoonsrivong's National Provider Identifier is 1265679591, issued on Jan 8, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jan 8, 2009.