Affirm & Embrace Psychotherapy Inc | |
441 Park Ave San Jose CA 95110-2615 | |
(669) 262-7070 | |
(408) 287-7428 |
Full Name | Affirm & Embrace Psychotherapy Inc |
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Speciality | Community/Behavioral Health |
Location | 441 Park Ave, San Jose, California |
Authorized Official Name and Position | Hoangoanh Anna Thi Nguyen (OWNER) |
Authorized Official Contact | 6692627070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Affirm & Embrace Psychotherapy Inc Po Box 41132 San Jose CA 95160-1132 Ph: (669) 262-7070 | Affirm & Embrace Psychotherapy Inc 441 Park Ave San Jose CA 95110-2615 Ph: (669) 262-7070 |
NPI Number | 1023712940 |
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Provider Enumeration Date | 03/27/2023 |
Last Update Date | 09/21/2023 |
Certification Date | 05/25/2023 |
Medicare PECOS PAC ID | 9234573338 |
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Medicare Enrollment ID | O20240216001637 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023712940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Hoangoanh Anna Thi Nguyen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508347097 PECOS PAC ID: 0143664243 Enrollment ID: I20240216001735 |
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