Individual
CAROLYN T PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 BISSO LN STE 200, CONCORD, CA 94520-4886
(925) 646-5468
Mailing address
1016 HIGH ST, ALAMEDA, CA 94501-5517
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2018
Last updated
10/05/2023
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