Khraythong Soupholphakdy
Khraythong Soupholphakdy is a Mental Health Counselor in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1221 Farmers Ln Ste BSanta Rosa, CA 95405-6712
Phone: (707) 565-6953
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1891902342 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2007 |
| Last updated in NPPES | August 25, 2014 |
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