Most Relevant Information
Provider Data
| NPI Number: | 1003530692 |
| Provider Name: | NGA NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LCAS-29005 |
Most Important Dates
| Enumeration Date: | 09/28/2022 |
| Last Updated: | 08/03/2023 |
Provider Practice Location
215B MEMORIAL DR
JACKSONVILLE
NC
285466333
Practice Location Phone/Fax
| Phone: | 2527477824 |
| Fax: | 9105770383 |
Provider Mailing Location
215B MEMORIAL DR
JACKSONVILLE
NC
285466333
Provider Mailing Phone/Fax
| Phone: | 2527477824 |
| Fax: | 9105770383 |