Individual
AARON SOUKSAVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
98 BOSWORTH ST, SAN FRANCISCO, CA 94112-1002
(415) 511-0975
Mailing address
98 BOSWORTH ST, SAN FRANCISCO, CA 94112-1002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225X00000X
Occupational Therapist
520656
CA
Other
Enumeration date
10/06/2023
Last updated
06/03/2026
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