Individual provider · Type 1 NPI
Vang Moua
Professional Counselor · Sparta, WI
NPI number
1114782117
Active
Practice location
402 S Black River St
Sparta, WI 54656-2043
Mailing address
300 Liberty St Apt 2104
La Crosse, WI 54603-3206
Other practice locations
- 522 Gateway Ave Ste F, Mauston, WI 53948-1450 · (608) 285-2133
- 435 Julie St Ste 2, Tomah, WI 54660-2924 · (608) 377-3864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1114782117
Vang Moua's National Provider Identifier is 1114782117, issued on Feb 19, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sparta, WI. The record was last updated on Feb 19, 2024.