Khraythong Soupholphakdy is a mental health counselor in Santa Rosa, CA. Khraythong Soupholphakdy NPI is 1891902342. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1221 FARMERS LN
SUITE B
SANTA ROSA, CA
ZIP 95405-712
Phone: (707) 565-6953
The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/25/2014.