Wing See Vivian Chan, MFT-Intern
Counselor, Mental Health in Rosemead, CA. Individual provider (NPI-1).
NPI number1902113103
StatusActive
Last updated in NPPESAug 26, 2014
Details
- NPI
- 1902113103
- Entity type
- Individual (NPI-1)
- Name
- Wing See Vivian Chan
- Credential
- MFT-Intern
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2010
- Last updated
- Aug 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | IMF70620 | CA | Yes |
Practice location
9353 Valley BlvdRosemead, CA 91770-1934
Phone 626-380-5936
Mailing address
9353 Valley BlvdRosemead, CA 91770-1934
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