Provider Demographics
NPI:1295948446
Name:TRAN, TUYEN MINH (MHRS, STUDENT)
Entity type:Individual
Prefix:MISS
First Name:TUYEN
Middle Name:MINH
Last Name:TRAN
Suffix:
Gender:F
Credentials:MHRS, STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8643 DORSEY WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-7552
Mailing Address - Country:US
Mailing Address - Phone:916-402-3999
Mailing Address - Fax:
Practice Address - Street 1:3353 BRADSHAW RD STE 103
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2608
Practice Address - Country:US
Practice Address - Phone:916-857-7570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor