MEDICARE: THUY VI T NGUYEN

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
1	101YM0800X	Mental Health Counselor	12036	OK

General Provider Information

NPI Number	:	1700636842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THUY VI T NGUYEN

Provider Business Mailing Address
First Line	:	7 NE 6TH ST STE 100
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-1852
Country	:	US
Telephone Number	:	405-535-2419
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 NE 6TH ST STE 100
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-1852
Country	:	US
Telephone Number	:	405-535-2419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	04/19/2026

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Directions to “ THUY VI T NGUYEN ” Practice Location

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