PHAYLOTH CHANDAVONG
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1669729281
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1669729281 is the National Provider Identifier for PHAYLOTH CHANDAVONG, a Counselor - Addiction (Substance Use Disorder) provider located in Sacramento, CA. This NPI was enumerated on August 14, 2012.
PHAYLOTH CHANDAVONG practices at 7225 E SOUTHGATE DR, Sacramento, CA 95823.
Quick Facts
- NPI
- 1669729281
- Type
- Individual
- Enumerated
- Aug 14, 2012
- Last Updated
- Aug 14, 2012
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