Kirby Naluck Khoonsrivong
Kirby Naluck Khoonsrivong is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
10309 Big Oak CirStockton, CA 95209-4560
Phone: (209) 513-2680
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1265679591 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2009 |
| Last updated in NPPES | January 8, 2009 |
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