Provider Demographics
NPI:1407076722
Name:NGO, HOAIHUONG TRAN (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:HOAIHUONG
Middle Name:TRAN
Last Name:NGO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MARYANNE
Other - Middle Name:HUONG
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 585
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-0585
Mailing Address - Country:US
Mailing Address - Phone:714-573-5341
Mailing Address - Fax:714-508-4557
Practice Address - Street 1:14851 YORBA ST
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2925
Practice Address - Country:US
Practice Address - Phone:714-573-5341
Practice Address - Fax:714-508-4557
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS280521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical