Individual
ANDY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
310 3RD ST, EUREKA, CA 95501-0492
(707) 467-2010
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
161871
CA
390200000X
Student in an Organized Health Care Education/Training Program
161871
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
07/13/2021
Last updated
03/19/2026
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