NPI 1003269051

Corrine Thanh Ngoc Phan, LCSW

Practitioner Social Worker San Diego, CA

Practice location

Address: 995 Gateway Center Way Suite 300, San Diego, CA 92102-4500
Phone: (619) 398-2156
Fax: (619) 398-2168
Mailing address: 995 Gateway Center Way Suite 300, San Diego, CA 92102

Registered specialties (2)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 100441 (CA)

Other Social Worker providers in California →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 83594 (CA)

Other Counselor providers in California →

Registry record

NPI: 1003269051
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2016
Record last updated: 21 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.