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Individual

PHAKOUEW YACHAI YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
1833 3RD AVE, ANOKA, MN 55303-2424
(612) 924-3807
Mailing address
1150 HENNEPIN AVE APT 2003, MINNEAPOLIS, MN 55403-1720
(763) 438-9502

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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