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

Pheng Thao

Individual provider Counselor · NPI 1366682023

Pheng Thao is a Counselor in Fresno, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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Practice location Address checks out

2772 Martin Luther King Blvd
Fresno, CA 93706
Phone: (559) 265-4800
Fax: (559) 265-4823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence D7036245 (CA)

Record details

NPI number1366682023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2009
Last updated in NPPESFebruary 20, 2009

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