Individual
BUI THAO ANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 20TH ST, BROOKLYN, NY 11232-1253
(347) 674-7783
Mailing address
5921 CALLOWAY ST APT 3H, CORONA, NY 11368-3836
(309) 292-5929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/15/2025
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