Individual provider · Type 1 NPI

Jimmy Sivongsay

Counselor · Riverside, CA

NPI number 1871129189 Active

Practice location

6711 Arlington Ave Ste C
Riverside, CA 92504-1966

Call (951) 352-4964 Map

Mailing address

112 Worth St
Perris, CA 92571-2554

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 1871129189

Jimmy Sivongsay's National Provider Identifier is 1871129189, issued on Mar 18, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Riverside, CA. The record was last updated on Mar 18, 2020.