Individual
CHEENOU LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBT
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(828) 781-8819
Mailing address
3629 EL CAMINO AVE, SACRAMENTO, CA 95821-6553
(828) 781-8819
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CB61077541
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
01/14/2023
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