| NPI | 1740604750 |
|---|---|
| Other Name | PHUONG NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005640) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |