Basic Information
Provider Information
NPI: 1285870402
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUI-ANDERSON
FirstName: UYEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPC, LMFT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8931 HURON ST
Address2:  
City: THORNTON
State: CO
PostalCode: 802606806
CountryCode: US
TelephoneNumber: 3038533500
FaxNumber:  
Practice Location
Address1: 8931 HURON ST
Address2:  
City: THORNTON
State: CO
PostalCode: 802606806
CountryCode: US
TelephoneNumber: 3038533500
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/17/2008
LastUpdateDate: 06/17/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000XMFT1039COY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
101YP2500XLPC6470CON Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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