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NPI Code Detail

MEDICARE: AN VINH TRUONG LCMHC, LCAS, NCC

MEDICARE: AN VINH TRUONG LCMHC, LCAS, NCC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-24635NC
2101YM0800XMental Health Counselor14391NC

General Provider Information

NPI Number : 1023586484
Entity Type Code : Individual
Provider Name (Legal Business Name) : AN VINH TRUONG LCMHC, LCAS, NCC
Provider Business Mailing Address
First Line : 5 RAVENSCROFT DR STE 102
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-3683
Country : US
Telephone Number : 288-277-2398
Fax Number :
Provider Business Practice Location Address
First Line : 5 RAVENSCROFT DR STE 102
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-3683
Country : US
Telephone Number : 288-277-2398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2018
Last Update Date : 06/06/2024

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Directions to “ AN VINH TRUONG LCMHC, LCAS, NCC” Practice Location

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