Individual provider · Type 1 NPI

Mai Lee Vang

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1063964815 Active

Practice location

1865 Old Hudson Rd # B2
St. Paul, MN 55119-4308

Call (612) 456-4565 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304767 (MN)
Social Worker 104100000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063964815

Mai Lee Vang's National Provider Identifier is 1063964815, issued on Oct 27, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Jan 25, 2024.