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

Individual provider Professional Counselor · NPI 1033245857

Mr. Kevin Panyanouvong, LCSW is a Professional Counselor in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

800 Scenic Dr
Modesto, CA 95350-6131
Phone: (209) 525-6225
Fax: (209) 558-4326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 25999 (CA)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1033245857
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 26, 2007
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

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