Provider / Organization | NPI | Date Certified |
---|---|---|
NUTTACHA VAITAYAVIJIT | 1740812213 | 2023-08-13 |
Nuttacha Vaitayavijit is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740812213. Registration indicates Nuttacha Vaitayavijit is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Mrs. Nuttacha Vaitayavijit AMFT |
Practice Office Address | 11800 CENTRAL AVE # 255 CHINO, CA US |
Practice Office Telephone | 9095915085 |
Mailing Address | 27311 COLD CREEK CT MORENO VALLEY, CA 925554532 US |
Business Telephone | 9512055456 |
Code | Practice | License No State |
---|---|---|
106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 115808
CA |
106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 131167
CA |