Individual
IA STEPHANIE VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 COHASSET RD STE 120, CHICO, CA 95926-2282
(530) 188-6395
(530) 894-5791
Mailing address
1081 REY CIR, CHICO, CA 95926-2844
(530) 518-8639
(530) 894-5791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2016
Last updated
05/28/2024
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