Provider Demographics
NPI:1346563244
Name:VO, JENNY NHAN (LCSW)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:NHAN
Last Name:VO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 STOKES ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4258
Mailing Address - Country:US
Mailing Address - Phone:408-655-5750
Mailing Address - Fax:
Practice Address - Street 1:2266 STOKES ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4258
Practice Address - Country:US
Practice Address - Phone:408-655-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS249561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical