Xong Vang
Individual provider Active NPI Mental Health Counselor · Centerville, MN
NPI 1124461959 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1124461959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 7041 20TH Ave
Centerville, MN 55038-9737 - Phone
- (651) 407-3631
- Fax
- (651) 407-3751
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Innovations, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
7041 20TH Ave
Centerville, MN 55038-9737
Mailing address
7041 20TH Ave
Centerville, MN 55038-9737
Phone (651) 407-3631
Other providers in Centerville, MN
- Nancy Kay Schwartz
- Sisu Therapy, PLLC
- Kimberly Kay Surve
- Autumn Terlouw
- Shanna Van Duzer
- Andrea Veech
- Jenna Vissell
- Timothy Brian Walsh
- Jari Lynn Welle
All providers in Centerville, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.