Individual provider · Type 1 NPI
Jennifer Fang
Mental Health Counselor · San Jose, CA
NPI number
1164910980
Active
Practice location
6203 San Ignacio Ave Ste 150
San Jose, CA 95119-1371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1164910980
Jennifer Fang's National Provider Identifier is 1164910980, issued on Apr 26, 2018. 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 Feb 23, 2021.