Individual provider · Type 1 NPI
Phannary Lor
Mental Health Counselor · Long Beach, CA
NPI number
1447322177
Active
Practice location
740 Gardenia Ave
Long Beach, CA 90813-5120
Mailing address
PO Box 4941
Long Beach, CA 90804-0941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1447322177
Phannary Lor's National Provider Identifier is 1447322177, issued on Nov 15, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Beach, CA. The record was last updated on Jul 8, 2007.