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Jessica Michelle Ai-vy Pham
Mental Health Counselor in Anaheim, California
NPI 1932624459

Jessica Michelle Ai-vy Pham is a Mental Health Counselor based in Anaheim, CA and is specialized in Mental Health. Jessica Michelle Ai-vy Pham practices in Anaheim, CA. The NPI Number for Jessica Michelle Ai-vy Pham is 1932624459 and holds a License No. (California).

The current practice location address for Jessica Michelle Ai-vy Pham is 131 W Midway Dr, Anaheim, CA and can be reached out via phone at 714-517-7107.

Location: 131 W Midway Dr, Anaheim, CA, 92805-6507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932624459
Provider Name
Jessica Michelle Ai-vy Pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
131 W Midway Dr, Anaheim, CA, 92805-6507
Phone Number
714-517-7107
Fax Number
Provider Enumeration Date
08/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
131 W Midway Dr
City
Anaheim
State
California
Zip
92805-6507
Phone Number
714-517-7107
Fax Number
person
Provider Business Mailing Address Details
Address
131 W Midway Dr
City
Anaheim
State
California
Zip
92805-6507
Phone Number
714-517-7107
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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