Individual
BAO VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC13138
Contact information
Practice address
4871 E CESAR CHAVEZ BLVD, FRESNO, CA 93727-3811
(559) 255-8395
(559) 255-1690
Mailing address
4871 E CESAR CHAVEZ BLVD, FRESNO, CA 93727-3811
(559) 255-8395
(559) 255-1690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8671
CA
101YM0800X
Mental Health Counselor
LPCC13138
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
13138
CA
101YP2500X
Professional Counselor
LPCC13138
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/18/2018
Last updated
06/03/2025
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