Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amelia Vongphairoth

Individual provider Counselor · NPI 1194593434

Amelia Vongphairoth is a Counselor in San Andreas, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Phone: (209) 754-6464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 136249 (CA)

Record details

NPI number1194593434
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address2239 Willow Creek Rd, San Andreas, CA 95249-9789

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