Individual provider · Type 1 NPI

Anh Tuan Nguyen Phan

Mental Health Counselor · San Jose, CA

NPI number 1134501034 Active

Practice location

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Fax (408) 579-6143

Mailing address

76 Marian Ln
San Jose, CA 95127-2023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134501034

Anh Tuan Nguyen Phan's National Provider Identifier is 1134501034, issued on Jun 26, 2015. 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 Jul 25, 2016.