VYVIAN PHAN

ALBUQUERQUE, NM
NPI1255840575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  SWB-2023-0980)
Additional Taxonomies104100000X Social Worker
(Licence: NM  M-11585)
1041C0700X Social Worker, Clinical
(Licence: NM  X11642)
106S00000X Behavior Technician
Enumeration Date2017-09-29
Last Update Date2025-04-22
Business Address
VYVIAN PHAN LCSW
7441 BARTLETT ST NE STE 1B
ALBUQUERQUE, NM 87109-5916
Phone number: 505-433-7466
Mailing Address
VYVIAN PHAN LCSW
1855 SMARTY JONES ST SE
ALBUQUERQUE, NM 87123-2398
Phone number: 505-702-9080