Individual
ANNIE BAO ANH TRUC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PULLMAN ST BLDG B, LIVERMORE, CA 94551-9756
(925) 453-9554
Mailing address
1001 ELEANOR LN, MANTECA, CA 95337-9644
(408) 646-5393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
02/11/2022
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