Individual provider · Type 1 NPI

Sophal Suon

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1750403846 Active

Practice location

620 N Aurora St, Suite 2
Stockton, CA 95202-2276

Call (209) 468-9607 Map

Mailing address

2138 Aztec Ave
Stockton, CA 95206-2372

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 1750403846

Sophal Suon's National Provider Identifier is 1750403846, issued on Apr 6, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.