| Doctor Name: | HAI CANG |
| NPI Number: | 1013326610 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | J900183350909 |
| Business Practice Address: | 39 Fox St Floor 3 Dorchester, MA - 02122 |
| Business Phone Number: | 5079904394 |
| Business Fax Number: | |
| Mailing Address: | 39 Fox St, Floor 3 DORCHESTER |
| State: | MA |
| Postal Code: | 021221722 |
| Phone Number: | 5079904394 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2014 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | J900183350909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |