Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDREW KEODARA PHOMTHAVONG, MSW
Active Sole ProprietorMR. ANDREW KEODARA PHOMTHAVONG, MSW is a Professional Counselor healthcare provider located in LOWELL, Massachusetts. NPI 1003110990 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LOWELL, MA
Registration Details
- NPI Number
- 1003110990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2011 (15.558831373476 yrs)
- Last Updated
- Jan 6, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
298 WALKER STREETLOWELL, MA, 01851Browse MA providers · Browse ZIP 01851
- Phone
- 6197439052
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in LOWELL, MA
| Name | Credential | NPI |
|---|---|---|
| MR. CHANNING TAFT MENDELSOHN | LMHC | 1346285863 |
| KAREN ARSENAULT | M.S. | 1912156522 |
| AMY MORRIS | — | 1164654059 |
| JOANNA DUMAS | MS | 1467719393 |
| INESSA MALONEY | — | 1699168617 |
| TAMARA LYNN CRUZ | — | 1891211736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.