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Organization
MESPACE
Active
Organization
MESPACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINH NGUYEN (OWNER)
(562) 607-9527
Entity
Organization
Contact information
Practice address
18913 SAN GABRIEL AVE, CERRITOS, CA 90703-8061
(562) 607-9527
Mailing address
18913 SAN GABRIEL AVE, CERRITOS, CA 90703-8061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/03/2024
Last updated
10/23/2024
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