Healthcare Provider Details

I. General information

NPI: 1548101355
Provider Name (Legal Business Name): MINH H VU LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 S STATE COLLEGE BLVD
FULLERTON CA
92831-4902
US

IV. Provider business mailing address

1519 E CHAPMAN AVE # 385
FULLERTON CA
92831-4013
US

V. Phone/Fax

Practice location:
  • Phone: 714-312-6151
  • Fax:
Mailing address:
  • Phone: 714-312-6151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101YM0800X
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: