Kelly Keomuangchanh
Kelly Keomuangchanh is an Addiction (Substance Use Disorder) Counselor in Ceres, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1768 Mitchell Rd Ste 301Ceres, CA 95307-2156
Phone: (209) 353-4838
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1053060202 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 23, 2022 |
| Last updated in NPPES | December 10, 2024 |
| Certification date | December 10, 2024 |
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