Individual provider · Type 1 NPI

Soukvilay Lucky Rajsombath-Selmer

Addiction (Substance Use Disorder) Counselor · Bellflower, CA

NPI number 1841915212 Active

Practice location

16314 Cornuta Ave
Bellflower, CA 90706-4814

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 1841915212

Soukvilay Lucky Rajsombath-Selmer's National Provider Identifier is 1841915212, issued on Oct 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bellflower, CA. The record was last updated on Sep 4, 2024.