KELLY KEOMUANGCHANH

CERES, CA
NPI1053060202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-23
Last Update Date2024-12-10
Business Address
KELLY KEOMUANGCHANH
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number: 209-353-4838
Mailing Address
KELLY KEOMUANGCHANH
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number: 209-353-4838
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