Sounthala, Theppharack Ad

Sounthala, Theppharack Ad is an individual health care provider with primary practice located at 251 E Hackett Rd , Modesto CA 95358-9415. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sounthala, Theppharack Ad can be contacted via phone (209) 558-2699.

Contact Information

Primary practice address
251 E Hackett Rd Modesto CA 95358-9415
Phone: (209) 558-2699
Fax: (209) 558-1075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW26225 California
Behavioral Health & Social Service Providers / Professional 101YP2500X LCS 26225 California

Profile Details

NPI number 1083745780
LBN Legal business name Sounthala, Theppharack Ad
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jun 2nd, 2022 - about 4 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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