Individual
MR. CHIENTHANG THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, CADC-II
Contact information
Practice address
1963 FOURTH AVENUE, SAN DIEGO, CA 92101-7609
(619) 233-3432
(619) 233-7022
Mailing address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
(619) 233-7022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
1047
CA
Other
Enumeration date
11/21/2006
Last updated
05/09/2014
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