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Individual

ANTHONY PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2769 VALENCIA RD, APTOS, CA 95003-9616
(831) 688-8465
Mailing address
1817 BAY ST, SANTA CRUZ, CA 95060-2410
(858) 705-9978

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/02/2022
Last updated
11/02/2022
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