Michelle Lane Phommachit
Michelle Lane Phommachit is an Addiction (Substance Use Disorder) Counselor in San Leandro, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
2035 Fairmont Dr # SRSan Leandro, CA 94578-1088
Phone: (866) 866-7496
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 11468 (CA) |
|---|
Record details
| NPI number | 1326639956 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 27, 2021 |
| Last updated in NPPES | January 27, 2021 |
| Certification date | January 27, 2021 |
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