KHAMTORM SOYVIRA, MSW

MSW

Mental Health Counselor

NPI: 1902927197Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

ASW 10209(CA)

Contact & Hours

Address: 1212 N CALIFORNIA ST
STOCKTON, CA 95202
Phone: (209) 953-7523

Location

Practice Location

1212 N CALIFORNIA ST, STOCKTON, CA

Quick Facts

NPI: 1902927197
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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