Individual
XULIVONG MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 314N, SAINT PAUL, MN 55114-1052
(651) 379-5157
(651) 379-5159
Mailing address
2550 UNIVERSITY AVE W, SUITE 314N, SAINT PAUL, MN 55114-1052
(651) 379-5157
(651) 379-5159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC00494
MN
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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