Individual
TONY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 789-1191
(262) 821-6180
Mailing address
14435 CAMERON CT, BROOKFIELD, WI 53005-1600
(714) 200-8656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7045
WI
101YP2500X
Professional Counselor
Primary
7045
WI
Other
Enumeration date
02/02/2021
Last updated
10/03/2025
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