Kwonta Phatiphong
Marriage & Family Therapist in Pomona, CA. Individual provider (NPI-1).
NPI number1003288564
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1003288564
- Entity type
- Individual (NPI-1)
- Name
- Kwonta Phatiphong
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2015
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 96278 | CA | Yes |
Practice location
2008 N Garey AvePomona, CA 91767-2722
Phone 909-623-6131
Mailing address
Po Box 1764Chino Hills, CA 91709-0059
Phone 909-671-9004
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All 198 Marriage & Family Therapist providers in Pomona · All 6,044 providers in Pomona
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