Cassidy Phuong Pham
Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1982185484
StatusActive
Last updated in NPPESApr 7, 2023
Details
- NPI
- 1982185484
- Entity type
- Individual (NPI-1)
- Name
- Cassidy Phuong Pham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2018
- Certification date
- Apr 7, 2023
- Last updated
- Apr 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT128739 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | AMFT107039 | CA |
Practice location
4445 Eastgate Mall Ste 200San Diego, CA 92121-1979
Phone 866-478-3978
Mailing address
1917 W Red Fox RdSanta Ana, CA 92704-7159
Phone 714-519-6408
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