Ken Soryadvongsa
Ken Soryadvongsa is a Mental Health Counselor in San Diego, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
928 BroadwaySan Diego, CA 92101-5514
Phone: (619) 977-3716
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1295469930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 9, 2022 |
| Last updated in NPPES | July 15, 2022 |
| Certification date | July 15, 2022 |
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