Individual
VEASNA PHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(507) 202-4934
Mailing address
2806 XERXES AVE S APT 203, MINNEAPOLIS, MN 55416-4423
(507) 202-4934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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