Individual
CHOR LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 M ST, FRESNO, CA 93721-1808
(559) 264-2700
(559) 264-2767
Mailing address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1255690617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659419828
VN ART NUMBER
CA
Enumeration date
05/21/2007
Last updated
01/24/2019
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