Individual provider · Type 1 NPI
Mosicrown Thao, MA, LPCC
Mental Health Counselor · Woodbury, MN
NPI number
1669209136
Active
Practice location
2165 Woodlane Dr Ste 100
Woodbury, MN 55125-3055
Fax (651) 738-1881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CC04576 (MN) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1669209136
Mosicrown Thao, MA, LPCC's National Provider Identifier is 1669209136, issued on Sep 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodbury, MN. The record was last updated on Sep 18, 2024.