CORRINE THANH NGOC PHAN

SAN DIEGO, CA
NPI1003269051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  100441)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  83594)
Enumeration Date2016-07-14
Last Update Date2021-10-21
Business Address
CORRINE THANH NGOC PHAN LCSW
995 GATEWAY CENTER WAY SUITE 300
SAN DIEGO, CA 92102-4500
Phone number: 619-398-2156
Mailing Address
CORRINE THANH NGOC PHAN LCSW
995 GATEWAY CENTER WAY SUITE 300
SAN DIEGO, CA 92102
Phone number: 619-398-2156