Individual provider · Type 1 NPI

Khamsavat Maneevorn

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1740475094 Active

Practice location

3905 Macdonald Ave
Richmond, CA 94805-2229

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 1740475094

Khamsavat Maneevorn's National Provider Identifier is 1740475094, issued on Sep 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Sep 10, 2007.