Individual
MR. THAI YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT, SAC-IT
Contact information
Practice address
2801 CALUMET DR, SHEBOYGAN, WI 53083-3839
(920) 451-6908
Mailing address
520 PINE RIDGE AVE, HOWARDS GROVE, WI 53083-2246
(920) 242-7760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21010-130
WI
101YM0800X
Mental Health Counselor
Primary
8782-226
WI
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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