Individual
SOU VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
Mailing address
700 CENTRAL AVE NE APT 506, MINNEAPOLIS, MN 55414-6704
(651) 329-3486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2975
MN
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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