KIRBY KHOONSRIVONG

Addiction (Substance Use Disorder) Counselor

NPI: 1265679591Individual

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Contact & Hours

Address: 10309 BIG OAK CIR
STOCKTON, CA 95209
Phone: (209) 513-2680

Location

Practice Location

10309 BIG OAK CIR, STOCKTON, CA

Quick Facts

NPI: 1265679591
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile