Individual
BRENDA PHEAKTRA HEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2140 MERCED ST, FRESNO, CA 93721-1721
(559) 892-1125
Mailing address
2314 S ADLER AVE, FRESNO, CA 93725-1232
(559) 288-1603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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