person
Phung Phan
Mental Health Counselor in San Mateo, California
NPI 1770916413

Phung Phan is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Phung Phan practices in San Mateo, CA. The NPI Number for Phung Phan is 1770916413 and holds a License No. (California).

The current practice location address for Phung Phan is 2600 S El Camino Real, San Mateo, CA and can be reached out via phone at 408-347-3120 and via fax at 408-347-3121.

Location: 2600 S El Camino Real, San Mateo, CA, 95111-4601
person
Provider Profile Details
NPI Number
1770916413
Provider Name
Phung Phan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2600 S El Camino Real, San Mateo, CA, 95111-4601
Phone Number
408-347-3120
Fax Number
408-347-3121
Provider Enumeration Date
08/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 S El Camino Real
City
State
Zip
94403-2380
Phone Number
408-347-3120
Fax Number
408-347-3121
person
Provider Business Mailing Address Details
Address
2600 S El Camino Real
City
State
Zip
94403-2380
Phone Number
408-347-3120
Fax Number
408-347-3121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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