Provider Demographics
NPI:1225761646
Name:KANG, HARVINDER K (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HARVINDER
Middle Name:K
Last Name:KANG
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 1:18257 W FOOTHILL DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85387-1540
Mailing Address - Country:US
Mailing Address - Phone:623-308-2705
Mailing Address - Fax:
Practice Address - Street 1:18257 W FOOTHILL DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85387-1540
Practice Address - Country:US
Practice Address - Phone:623-308-2705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18290101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional