Healthcare Provider Details

I. General information

NPI: 1386445708
Provider Name (Legal Business Name): JOSEPH THUAN TRAN AMFT, APCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOEY T TRAN AMFT, APCC

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S MILLER ST STE 107
SANTA MARIA CA
93454-5248
US

IV. Provider business mailing address

639 STRATFORD CT APT 16
DEL MAR CA
92014-2706
US

V. Phone/Fax

Practice location:
  • Phone: 805-242-6634
  • Fax:
Mailing address:
  • Phone: 714-873-2285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18673
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153377
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: