Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor |
NPI | 1003187998 |
---|---|
Provider Name | Thuyminh Nguyen |
First Address | Oakland, CA 94609-2633 |
Second Address | Oakland, CA 94609-2633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2012 |
Last Update Date | 26/08/2014 |