# MEKONG COMMUNITY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NA
- **Other names:** Hoi -Quan Cuu Long
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104300011
- **Legal business name:** NA
- **Authorized official:** MS. LANA N NGUYEN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (408) 914-2894

## Contact information

- **Practice address:** 2203 TULLY RD, SAN JOSE, CA 95122-1348
- **Practice address phone:** (408) 937-1553
- **Mailing address:** 2203 TULLY RD, SAN JOSE, CA 95122-1348
- **Mailing address phone:** (408) 937-1553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2018
- **Last updated:** 09/18/2018