Individual provider · Type 1 NPI

Loan Phan, PhD

Mental Health Counselor · Albuquerque, NM

NPI number 1720574304 Active

Practice location

10401 Montgomery Pkwy NE Ste 1-K
Albuquerque, NM 87111-3876

Call (505) 227-7623 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0063831 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1720574304

Loan Phan, PhD's National Provider Identifier is 1720574304, issued on Jul 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 26, 2026.