REBECCA PHONGSA

STOCKTON, CA
NPI1790228781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2016-11-23
Last Update Date2016-11-23
Business Address
REBECCA PHONGSA
1947 NORTH CALFORNIA STREET SUITE B
STOCKTON, CA 95204
Phone number: 209-463-0870
Mailing Address
REBECCA PHONGSA
1947 NORTH CALFORNIA STREET SUITE B
STOCKTON, CA 95204
Phone number: 209-463-0870
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