Individual
PA HOUA THAO XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, LPC-IT
Contact information
Practice address
1478 KENWOOD DR STE 1, MENASHA, WI 54952-1161
(920) 886-9319
Mailing address
593 WESTERN AVE, FOND DU LAC, WI 54935-3907
(920) 251-8302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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