Individual provider · Type 1 NPI

Pony Inthanongsak

Counselor · Oakland, CA

NPI number 1376975730 Active

Practice location

1440 Broadway, Suite 610
Oakland, CA 94612-2041

Call (510) 628-9065 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376975730

Pony Inthanongsak's National Provider Identifier is 1376975730, issued on Aug 7, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oakland, CA. The record was last updated on Aug 7, 2013.