Healthcare Provider Details

I. General information

NPI: 1285825117
Provider Name (Legal Business Name): SUSAN HIEN NGUYEN LAM LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 CORPORATE CENTER DR STE 650
MONTEREY PARK CA
91754-7639
US

IV. Provider business mailing address

1000 CORPORATE CENTER DR STE 650
MONTEREY PARK CA
91754-7639
US

V. Phone/Fax

Practice location:
  • Phone: 626-607-4017
  • Fax:
Mailing address:
  • Phone: 626-607-4017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number52834
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: