Provider Demographics
NPI:1285469262
Name:NGUYEN, GIANG (LMFT)
Entity type:Individual
Prefix:
First Name:GIANG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 SANTA CAROLINA RD UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-2735
Mailing Address - Country:US
Mailing Address - Phone:858-335-6512
Mailing Address - Fax:
Practice Address - Street 1:1560 SANTA CAROLINA RD UNIT 3
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-2735
Practice Address - Country:US
Practice Address - Phone:858-335-6512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53981106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist