Provider Demographics
NPI:1164871356
Name:SON, SOKCHEAT
Entity Type:Individual
Prefix:
First Name:SOKCHEAT
Middle Name:
Last Name:SON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 WILL PASS ROAD
Mailing Address - Street 2:STE 500
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520
Mailing Address - Country:US
Mailing Address - Phone:925-692-0090
Mailing Address - Fax:952-692-0091
Practice Address - Street 1:2118 WILLOW PASS ROAD
Practice Address - Street 2:STE 500
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520
Practice Address - Country:US
Practice Address - Phone:925-692-0090
Practice Address - Fax:952-692-0091
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor