Individual provider · Type 1 NPI

Paphuala Thao, LPC-IT

Mental Health Counselor · Menasha, WI

NPI number 1215814512 Active

Practice location

1205 Province Ter
Menasha, WI 54952-7017

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	8642-226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1215814512

Paphuala Thao, LPC-IT's National Provider Identifier is 1215814512, issued on Aug 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Menasha, WI. The record was last updated on Aug 19, 2025.