Individual provider · Type 1 NPI

Nancy Khanthavong

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1578281119 Active

Practice location

1563 Mission St
San Francisco, CA 94103-2543

Mailing address

3215 Balboa St
San Francisco, CA 94121-2731

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1446871021 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1578281119

Nancy Khanthavong's National Provider Identifier is 1578281119, issued on Aug 19, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Aug 19, 2022.