person
Phung My Ly, LPCC,CDAC-II,MSCP
Professional Counselor in Newark, New Jersey
NPI 1215365739

Phung My Ly is a Professional Counselor based in New York, NJ and is specialized in Professional. Phung My Ly practices in Newark, NJ and has the professional credentials of LPCC,CDAC-II,MSCP. The NPI Number for Phung My Ly is 1215365739 and holds a License No. RA9280413 (New Jersey).

The current practice location address for Phung My Ly is 1 Gateway Ctr Ste 2600, Newark, NJ and can be reached out via phone at 888-528-7618.

Location: 1 Gateway Ctr Ste 2600, Newark, NJ, 10003-1502
person
Provider Profile Details
NPI Number
1215365739
Provider Name
Phung My Ly
Credential
LPCC,CDAC-II,MSCP
Provider Entity Type
Individual
Gender
Female
Address
1 Gateway Ctr Ste 2600, Newark, NJ, 10003-1502
Phone Number
888-528-7618
Fax Number
Provider Enumeration Date
10/18/2013
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1 Gateway Ctr Ste 2600
City
State
Zip
07102-5323
Phone Number
888-528-7618
Fax Number
person
Provider Business Mailing Address Details
Address
1 Gateway Ctr Ste 2600
City
State
Zip
07102-5323
Phone Number
888-528-7618
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPCC6684 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
RA9280413 (California)
Definition
Definition to come...
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