Individual
DR. LOAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10401 MONTGOMERY PKWY NE STE 1-K, ALBUQUERQUE, NM 87111-3876
(505) 227-7623
Mailing address
10401 MONTGOMERY PKWY NE STE 1-K, ALBUQUERQUE, NM 87111-3876
(505) 227-7623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0063831
NM
Other
Enumeration date
07/06/2018
Last updated
03/26/2026
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