Individual
MICHAEL PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 N CARPENTER RD STE D41, MODESTO, CA 95351-1160
(209) 577-1903
Mailing address
1620 N CARPENTER RD STE D41, MODESTO, CA 95351-1160
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ASW134000
CA
Other
Enumeration date
06/20/2017
Last updated
12/04/2025
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