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Phong Lam
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1770034696

Phong Lam is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Phong Lam practices in San Jose, CA. The NPI Number for Phong Lam is 1770034696 and holds a License No. (California).

The current practice location address for Phong Lam is 1340 Tully Rd Ste 304, San Jose, CA and can be reached out via phone at 408-271-3900.

Location: 1340 Tully Rd Ste 304, San Jose, CA, 95116-1349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770034696
Provider Name
Phong Lam
Credential
Provider Entity Type
Individual
Gender
Male
Address
1340 Tully Rd Ste 304, San Jose, CA, 95116-1349
Phone Number
408-271-3900
Fax Number
Provider Enumeration Date
10/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1340 Tully Rd Ste 304
City
San Jose
State
California
Zip
95122-3055
Phone Number
408-271-3900
Fax Number
person
Provider Business Mailing Address Details
Address
1340 Tully Rd Ste 304
City
San Jose
State
California
Zip
95122-3055
Phone Number
408-271-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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