Individual
LILAH VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, BS
Contact information
Practice address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(651) 243-6072
(651) 714-9647
Mailing address
5192 360TH ST, NORTH BRANCH, MN 55056-5501
(651) 404-0267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MN
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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