NATHAN SHAWN THEPHAVONGSA

Marriage & Family Therapist

NPI: 1912630450Individual

Specialties, Licenses & Credentials

Marriage & Family TherapistPrimary

Marriage & Family Therapist

Code: 106H00000X

151868(CA)

Contact & Hours

Via practice · 2 locations total

Address: 100 FOLSOM PRISON RD
REPRESA, CA 95671
Phone: (916) 985-8610

Locations (2)

Practice Location

100 FOLSOM PRISON RD, REPRESA, CA

Practice Location

2829 WATT AVE STE 200, SACRAMENTO, CA

Quick Facts

NPI: 1912630450
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 2

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