Individual provider · Type 1 NPI

Phong Lam

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1770034696 Active

Practice location

1340 Tully Rd Ste 304
San Jose, CA 95122-3055

Call (408) 271-3900 Map

Mailing address

1764 Arroyo De Oro
San Jose, CA 95116-1349

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1770034696

Phong Lam's National Provider Identifier is 1770034696, issued on Oct 14, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Oct 14, 2016.