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

Mardy Chhun

Individual provider Mental Health Counselor · NPI 1770031080

Mardy Chhun is a Mental Health Counselor in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

4283 El Cajon Blvd Ste 100
San Diego, CA 92105-1289
Phone: (619) 521-1743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9465 Farnham St # 92123, San Diego, CA 92123-1308 — (858) 573-2600

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)

Record details

NPI number1770031080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2016
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address9465 Farnham St # 92123, San Diego, CA 92123-1308

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