Individual provider · Type 1 NPI

Khoeun Chhan Baeza

Mental Health Counselor · Clovis, CA

NPI number 1487310496 Active

Practice location

3802 Duncan Ave
Clovis, CA 93619-5174

Call (559) 917-0740 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMFT111805 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1487310496

Khoeun Chhan Baeza's National Provider Identifier is 1487310496, issued on Nov 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clovis, CA. The record was last updated on Nov 14, 2021.