Long Vang, MHPP

NPI #1992954739 in Bentonville, Arkansas

Provider Information

NPI Number: 1992954739
Entity Type: Individual
Name: Long Vang, MHPP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MHPP
Enumeration Date: Sep 17, 2008
Last Updated: Jun 1, 2011

Practice Location

Address: 2508 S.E. 20TH STREET
City: Bentonville
State: Arkansas
ZIP Code: 72712
Phone: (479) 725-5224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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