Individual
PHUONG TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7716 ENGLISH OAK CIR, ELKRIDGE, MD 21075-6572
(763) 234-1190
Mailing address
7716 ENGLISH OAK CIR, ELKRIDGE, MD 21075-6572
(763) 234-1190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304007
MN
101YM0800X
Mental Health Counselor
953
MN
101YM0800X
Mental Health Counselor
Primary
LC7943
MD
Other
Enumeration date
03/03/2015
Last updated
10/01/2024
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