Shuffer, Sirivanh Kongbouakhay
Shuffer, Sirivanh Kongbouakhay is an sole proprietor health care provider with primary practice located at 429 Van Buren Dr , Monterey Park CA 91755-4150. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shuffer, Sirivanh Kongbouakhay can be contacted via phone (559) 970-4155.Contact Information
Primary practice address
429 Van Buren Dr
Monterey Park CA 91755-4150
Phone: (559) 970-4155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 25332 | California |
Profile Details
| NPI number | 1508129222 |
|---|---|
| LBN Legal business name | Shuffer, Sirivanh Kongbouakhay |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2012 |
| Last updated | Jun 18th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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