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Van Phan
Mental Health Counselor in Corona, California
NPI 1255835013

Van Phan is a Mental Health Counselor based in Corona, CA and is specialized in Mental Health. Van Phan practices in Corona, CA. The NPI Number for Van Phan is 1255835013 and holds a License No. (California).

The current practice location address for Van Phan is 2275 S Main St Ste 201, Corona, CA and can be reached out via phone at 951-279-3222.

Location: 2275 S Main St Ste 201, Corona, CA, 92882-5303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255835013
Provider Name
Van Phan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2275 S Main St Ste 201, Corona, CA, 92882-5303
Phone Number
951-279-3222
Fax Number
Provider Enumeration Date
03/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2275 S Main St Ste 201
City
Corona
State
California
Zip
92882-5303
Phone Number
951-279-3222
Fax Number
person
Provider Business Mailing Address Details
Address
2275 S Main St Ste 201
City
Corona
State
California
Zip
92882-5303
Phone Number
951-279-3222
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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