Individual provider · Type 1 NPI

Chong Vang Lor

Mental Health Counselor · Crescent City, CA

NPI number 1487984993 Active

Practice location

455 K St
Crescent City, CA 95531-4107

Fax (707) 465-4272

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487984993

Chong Vang Lor's National Provider Identifier is 1487984993, issued on Jan 5, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crescent City, CA. The record was last updated on Jan 5, 2010.