John Pham Nguyen, LPC-A
Counselor, Mental Health in Bridgeport, CT. Individual provider (NPI-1).
NPI number1982302295
StatusActive
Last updated in NPPESFeb 16, 2023
Details
- NPI
- 1982302295
- Entity type
- Individual (NPI-1)
- Name
- John Pham Nguyen
- Credential
- LPC-A
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2023
- Certification date
- Feb 16, 2023
- Last updated
- Feb 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 46.006005-ASOC | CT | Yes |
Practice location
269 Iranistan AveBridgeport, CT 06604-5250
Phone 203-243-1477
Mailing address
269 Iranistan AveBridgeport, CT 06604-5250
Phone 203-243-1477
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