| Doctor Name: | PA HOUA THAO XIONG |
| NPI Number: | 1154788438 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSE, LPC-IT |
| License Number: | |
| Business Practice Address: | 1478 Kenwood Dr Ste 1 Menasha, WI - 549521161 |
| Business Phone Number: | 9208869319 |
| Business Fax Number: | |
| Mailing Address: | 593 Western Ave, FOND DU LAC |
| State: | WI |
| Postal Code: | 549353907 |
| Phone Number: | 9202518302 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2016 |
| NPI Last Update Date: | 01/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |