Individual
XAINYAVONG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 F ST, FRESNO, CA 93706-3409
(559) 498-6689
Mailing address
412 F ST, FRESNO, CA 93706-3409
(559) 288-2112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7454
CA
101YM0800X
Mental Health Counselor
APCC7454
CA
101YP2500X
Professional Counselor
16877
CA
101YP2500X
Professional Counselor
Primary
LPCC16877
CA
171M00000X
Case Manager/Care Coordinator
LPCC16877
CA
Other
Enumeration date
05/13/2020
Last updated
06/19/2025
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