Healthcare Provider Details

I. General information

NPI: 1053485896
Provider Name (Legal Business Name): CHRISTINE VO MSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12254 BELLFLOWER BLVD
DOWNEY CA
90242-2804
US

IV. Provider business mailing address

1756 E COMMONWEALTH AVE UNIT 102
FULLERTON CA
92831-4817
US

V. Phone/Fax

Practice location:
  • Phone: 866-465-7296
  • Fax:
Mailing address:
  • Phone: 714-894-9078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCSW59963
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: