Individual provider · Type 1 NPI

Thanathamol Ketthong

Counselor · San Diego, CA

NPI number 1750825063 Active

Practice location

5348 University Ave, Suite 101
San Diego, CA 92105-8025

Call (619) 229-2999 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1750825063

Thanathamol Ketthong's National Provider Identifier is 1750825063, issued on Dec 6, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 6, 2016.