Individual provider · Type 1 NPI

Sirivanh Kongbouakhay Shuffer, L.C.S.W.

Mental Health Counselor · Monterey Park, CA

NPI number 1508129222 Active

Practice location

429 Van Buren Dr
Monterey Park, CA 91755-4150

Call (559) 970-4155 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X25332 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1508129222

Sirivanh Kongbouakhay Shuffer, L.C.S.W.'s National Provider Identifier is 1508129222, issued on Jun 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Monterey Park, CA. The record was last updated on Jun 18, 2012.