Search › Massachusetts › 1041C0700X
Khamphady Keovongsa, LICSW
NPI 1194125625 · on the registry since 2014 · sole proprietor
Practice
- Address
- 30 Standish Rd
Arlington, MA 02476 - Phone
- (781) 999-4975
- Fax
- (801) 263-4333
- Organisation at this address
- Actualize Counseling & Nutrition Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts