Individual
THANH TRUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 TULLY RD STE 301, SAN JOSE, CA 95122-3055
(408) 510-8458
Mailing address
1340 TULLY RD STE 301, SAN JOSE, CA 95122-3055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PCC4240
CA
101YP2500X
Professional Counselor
Primary
LPCC11030
CA
Other
Enumeration date
12/08/2017
Last updated
04/25/2024
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