Individual
ASHLEY PHOUNG-TRINH ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC-IT
Contact information
Practice address
1519 E WASHINGTON ST STE A, WEST BEND, WI 53095-2615
(262) 547-2463
(262) 547-8002
Mailing address
800 WISCONSIN AVE, RACINE, WI 53403-1526
(262) 637-8888
(262) 637-0695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7498-226
WI
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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