SOMSAY CHANTHAVONGSOR

SANTA MARIA, CA
NPI1750058343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2021-08-23
Last Update Date2021-09-28
Business Address
SOMSAY CHANTHAVONGSOR
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
Mailing Address
SOMSAY CHANTHAVONGSOR
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
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