Individual provider · Type 1 NPI

Phayloth Chandavong

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1669729281 Active

Practice location

7225 E Southgate Dr
Sacramento, CA 95823-2652

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1669729281

Phayloth Chandavong's National Provider Identifier is 1669729281, issued on Aug 14, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Aug 14, 2012.