Soukvilay Lucky Rajsombath-Selmer
Counselor, Addiction (Substance Use Disorder) in Bellflower, CA. Individual provider (NPI-1).
NPI number1841915212
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1841915212
- Entity type
- Individual (NPI-1)
- Name
- Soukvilay Lucky Rajsombath-Selmer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
16314 Cornuta AveBellflower, CA 90706-4814
Phone 461-927-3562
Mailing address
16314 Cornuta AveBellflower, CA 90706-4814
Phone 562-461-9272
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All 57 Addiction (Substance Use Disorder) Counselor providers in Bellflower · All 1,844 providers in Bellflower
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