MEDICARE: JENNY NHAN VO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS24956	CA

General Provider Information

NPI Number	:	1346563244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY NHAN VO LCSW

Provider Business Mailing Address
First Line	:	2266 STOKES ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-4258
Country	:	US
Telephone Number	:	408-655-5750
Fax Number	:

Provider Business Practice Location Address
First Line	:	2266 STOKES ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-4258
Country	:	US
Telephone Number	:	408-655-5750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	12/29/2014

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