ERICA LAUREN KHAMVONGSA

RIVERSIDE, CA
NPI1942705363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  132873)
Additional Taxonomies106H00000X Marriage & Family Therapist
101Y00000X Counselor
106H00000X Marriage & Family Therapist
(Licence: CA  115654)
Enumeration Date2018-03-27
Last Update Date2024-07-21
Business Address
ERICA LAUREN KHAMVONGSA
4033 MT VERNON AVE
RIVERSIDE, CA 92507-4805
Phone number: 951-683-5193
Mailing Address
ERICA LAUREN KHAMVONGSA
PO BOX 53075
RIVERSIDE, CA 92517-4075
Phone number: 626-217-3919