Phuong Madalena Luu
Counselor, Mental Health in Alvin, TX. Individual provider (NPI-1).
NPI number1528694635
StatusActive
Last updated in NPPESFeb 28, 2022
Details
- NPI
- 1528694635
- Entity type
- Individual (NPI-1)
- Name
- Phuong Madalena Luu
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2020
- Certification date
- Feb 28, 2022
- Last updated
- Feb 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 79985 | TX | Yes |
| 101YP2500X | Counselor, Professional | 79985 | TX |
Practice location
1111 W Adoue StAlvin, TX 77511-2718
Phone 281-824-1480 · Fax 281-220-6407
Mailing address
1111 W Adoue StAlvin, TX 77511-2718
Phone 281-824-1480 · Fax 281-220-6407
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