MR. NICK KEOMAHAVONG IMF
NPI 1669605663
Marriage & Family Therapist in Escondido, CA

Q: What is Nick Keomahavong's NPI number?

The NPI number for Nick Keomahavong is 1669605663. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Q: What is Nick Keomahavong's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Nick Keomahavong was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2009

17701 SAN PASQUAL VALLEY RD, ESCONDIDO, CA 92025(760) 741-4300 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Nick Keomahavong Imf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICK KEOMAHAVONG IMF (NPI 1669605663) is an individual marriage & family therapist in Escondido, California and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1669605663

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. NICK KEOMAHAVONGCredential: IMF

Location Address17701 SAN PASQUAL VALLEY RDEscondido, CA 92025-5301

Mailing Address17701 San Pasqual Valley RdEscondido, CA 92025-5301 · (760) 741-4300

Phone(760) 741-4300

Sole ProprietorNo

Enumeration DateAugust 25, 2009

Last NPPES UpdateApril 6, 2011

✔ NPI 1669605663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselorTaxonomy 101Y00000X

17701 SAN PASQUAL VALLEY RD, Escondido, CA 92025

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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