Individual
MISS ANNA SOUKHASEUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2513 24TH ST, SAN FRANCISCO, CA 94110-3556
(415) 642-5968
Mailing address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
03/12/2013
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