Individual provider · Type 1 NPI

Serena Souksakhone Moua

Marriage & Family Therapist · Santa Clara, CA

NPI number 1922528116 Active

Practice location

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Call (323) 205-7088 Map

Fax (833) 419-0181

Mailing address

PO Box 4874
Fresno, CA 93744-4874

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1324030918 (CA)
Marriage & Family Therapist 106H00000X131062 (CA)
Marriage & Family Therapist Primary 106H00000X156502 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1922528116

Serena Souksakhone Moua's National Provider Identifier is 1922528116, issued on Jun 20, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Clara, CA. The record was last updated on Aug 13, 2025.