DR. PORNTHIP CHALUNGSOOTH, L.P.C.

Counselor

Active Individual
NPI: 1104911510

Practice Address

525 N. GARLAND AVE.
Fayetteville, AR 72701

Phone: (479) 575-5276

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes P9307012 (AR)

Frequently Asked Questions

NPI 1104911510 is the National Provider Identifier for DR. PORNTHIP CHALUNGSOOTH, L.P.C., a Counselor provider located in Fayetteville, AR. This NPI was enumerated on October 3, 2006.
DR. PORNTHIP CHALUNGSOOTH, L.P.C. practices at 525 N. GARLAND AVE., Fayetteville, AR 72701.

Quick Facts

NPI
1104911510
Type
Individual
Enumerated
Oct 3, 2006
Last Updated
Jul 8, 2007

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