Individual
THUY HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 GEORGETOWN PLACE SUITE A3, STOCKTON, CA 95207
(209) 955-1139
(209) 955-1143
Mailing address
900 FULTON AVE, SUITE 205, SACRAMENTO, CA 95825-4500
(916) 484-3570
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36454
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/29/2012
Last updated
01/18/2017
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