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NPI Code Detail

MEDICARE: PAHOUA XIONG LPC

MEDICARE: PAHOUA XIONG LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor11212-125WI
2101YP2500XProfessional Counselor4845WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14845OTHERWISTATE OF WISCONSIN

General Provider Information

NPI Number : 1932795499
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAHOUA XIONG LPC
Provider Business Mailing Address
First Line : PO BOX 148
Second Line :
City : BUTLER
State : WI
Zip : 53007-0148
Country : US
Telephone Number : 141-247-0801
Fax Number : 141-247-0806
Provider Business Practice Location Address
First Line : 6025 N GREEN BAY AVE FL 2
Second Line :
City : GLENDALE
State : WI
Zip : 53209-3811
Country : US
Telephone Number : 414-247-0801
Fax Number : 414-247-0816
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2020
Last Update Date : 02/19/2026

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