IRENE PHUONG BAO VAN

SAN JOSE, CA
NPI1952825598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  127828)
Additional Taxonomies101YM0800X Counselor, Mental Health
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-07-26
Last Update Date2024-01-18
Business Address
IRENE PHUONG BAO VAN
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131-1888
Phone number: 408-284-9000
Mailing Address
IRENE PHUONG BAO VAN
2010 EL CAMINO REAL # 1392
SANTA CLARA, CA 95050-4051
Phone number: 408-284-9000