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Individual

MRS. PHUONG MAI NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
85 KIRMAN AVE STE 200, RENO, NV 89502-1340
(775) 982-2862
(775) 982-2865
Mailing address
850 HARVARD WAY, MAIL STOP T5, RENO, NV 89502
(775) 982-5262
(775) 982-5496

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-I#01075
NV
101YM0800X
Mental Health Counselor
NV
106H00000X
Marriage & Family Therapist
Primary
01318
NV
106H00000X
Marriage & Family Therapist
MFT-I#MI0417
NV
225400000X
Rehabilitation Practitioner

Other

Enumeration date
07/16/2011
Last updated
04/10/2020
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