Provider Demographics
NPI:1588008668
Name:TRAN RYAN, NGA-CAROLINE THIEN (LMFT)
Entity Type:Individual
Prefix:
First Name:NGA-CAROLINE
Middle Name:THIEN
Last Name:TRAN RYAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 POINTE DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-7622
Mailing Address - Country:US
Mailing Address - Phone:714-576-4488
Mailing Address - Fax:714-256-9013
Practice Address - Street 1:3 POINTE DR
Practice Address - Street 2:SUITE 305
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-7622
Practice Address - Country:US
Practice Address - Phone:714-576-4488
Practice Address - Fax:714-256-9013
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC50047106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist