Provider Demographics
NPI:1053504704
Name:CHIANG, WINNIS NG (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:WINNIS
Middle Name:NG
Last Name:CHIANG
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39111 PASEO PADRE PKWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1672
Mailing Address - Country:US
Mailing Address - Phone:925-806-8600
Mailing Address - Fax:
Practice Address - Street 1:39111 PASEO PADRE PKWY
Practice Address - Street 2:SUITE 215
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1672
Practice Address - Country:US
Practice Address - Phone:925-806-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist