Provider Demographics
NPI:1730422130
Name:NGUYEN, REBECCA THIEN-TRANG (LPC)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:THIEN-TRANG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11618 PRESSBURG ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-3107
Mailing Address - Country:US
Mailing Address - Phone:504-957-2223
Mailing Address - Fax:
Practice Address - Street 1:4401 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE #201
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5340
Practice Address - Country:US
Practice Address - Phone:504-875-2379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4463101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health