Corrine Thanh Ngoc Phan, LCSW

NPI #1003269051 in San Diego, California

Provider Information

NPI Number: 1003269051
Entity Type: Individual
Name: Corrine Thanh Ngoc Phan, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jul 14, 2016
Last Updated: Oct 21, 2021

Practice Location

Address: 995 GATEWAY CENTER WAY
Address 2: SUITE 300
City: San Diego
State: California
ZIP Code: 92102-4500
Phone: (619) 398-2156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X	Primary

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