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Kwonta Phatiphong

NPI 1003288564 · on the registry since 2015 · sole proprietor

Practice

Address: 2008 N Garey Ave
Pomona, CA 91767
Phone: (909) 623-6131
Organisation at this address: Genoa Healthcare Llc
Tri-City Mental Health Center
Tri-City Mental Health Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 289

Registry record

Primary taxonomy: Marriage & Family Therapist
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California