Mickie Vang

NPI #1235362088 in Clovis, California

Provider Information

NPI Number: 1235362088
Entity Type: Individual
Name: Mickie Vang
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Aug 27, 2009
Last Updated: Aug 27, 2009

Practice Location

Address: 955 W EUCLID AVE
City: Clovis
State: California
ZIP Code: 93612-4703
Phone: (559) 312-3850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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