Individual
LONG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
2508 S.E. 20TH STREET, BENTONVILLE, AR 72712
(479) 725-5224
(479) 750-8967
Mailing address
2400 S. 48TH STREET, SPRINGDALE, AR 72762
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AR
101Y00000X
Counselor
—
—
Other
Enumeration date
09/17/2008
Last updated
06/01/2011
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