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Individual

ANDY NGUYEN LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
9500 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5807
(909) 980-6700
Mailing address
27261 LAS RAMBLAS STE 220, MISSION VIEJO, CA 92691-6468

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW90266
CA
1041C0700X
Clinical Social Worker
Primary
LCSW115829
CA

Other

Enumeration date
07/05/2019
Last updated
10/15/2024
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