Doctor Name: | MR. QUOC DUNG TRAN |
NPI Number: | 1710228655 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, LCDC |
License Number: | 17239 |
Business Practice Address: | 20114 Great Lake St Waller, TX - 774847085 |
Business Phone Number: | 8325941895 |
Business Fax Number: | |
Mailing Address: | 20114 Great Lake St, WALLER |
State: | TX |
Postal Code: | 774847085 |
Phone Number: | 8325941895 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 17239 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |