Individual
MS. MONICA MIMI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39420 LIBERTY ST STE 252, FREMONT, CA 94538-2297
(510) 745-9151
(510) 745-9152
Mailing address
1333 WILLOW PASS RD STE 200, CONCORD, CA 94520-7923
(925) 825-1793
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2023
Last updated
06/08/2023
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