Individual
MAI LEE VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 OLD HUDSON RD # B2, SAINT PAUL, MN 55119-4308
(612) 456-4565
Mailing address
1865 OLD HUDSON RD # B2, SAINT PAUL, MN 55119-4308
(612) 456-4565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304767
MN
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/27/2016
Last updated
01/25/2024
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