Individual provider · Type 1 NPI

Selina Chan

Mental Health Counselor · San Jose, CA

NPI number 1104226943 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Fax (408) 254-9960

Mailing address

1018 S Mary Ave
Sunnyvale, CA 94087-1718

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104226943

Selina Chan's National Provider Identifier is 1104226943, issued on Aug 29, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Aug 29, 2014.