Provider Information for 1013198928
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RANEE TAECHAMEENA SAHACHARTSIRI LCSW
Sex: Female
NPI: 1013198928
Last Updated: 2023-01-23
Certification Date: 2023-01-23
Certification Date: 2023-01-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013198928 | ||||||||||||
| Enumeration Date | 2007-11-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 1814 SAN JACINTO, CA 92581-1814 United States Phone: 951-732-8377 | Fax: | ||||||||||||
| Primary Practice Address | 8876 MISSION BLVD JURUPA VALLEY, CA 92509-2811 United States Phone: 951-955-0507 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 3190 CHICAGO AVE | ||||||||||||
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