Individual provider · Type 1 NPI

Pheng Thao

Mental Health Counselor · St. Paul, MN

NPI number 1730635277 Active

Practice location

570 Asbury St, Suite 300
St. Paul, MN 55104-1849

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730635277

Pheng Thao's National Provider Identifier is 1730635277, issued on Aug 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Aug 25, 2016.