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MR. PLEON AMPORNPET

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1639331812

Individual Registrant:
MR. PLEON  AMPORNPET 
Gender: M
Sole Proprietor

Location and contact information for practice:
11600 ELDRIDGE AVE  LAKE VIEW TERRACE, CA 91342-6506 US
Tel: 818-686-3194  Fax: 818-896-4232

Contact information for business:
11600 ELDRIDGE AVE  LAKE VIEW TERRACE, CA 91342-6506 US
Tel: 818-686-3194  Fax: 818-896-4232

Registration Information:
NPI: 1639331812
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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