Provider Demographics
NPI:1346904273
Name:LE, THU-HA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:THU-HA
Middle Name:
Last Name:LE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 NEW SMITH DR
Mailing Address - Street 2:
Mailing Address - City:KUNKLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18058-2501
Mailing Address - Country:US
Mailing Address - Phone:215-510-7819
Mailing Address - Fax:
Practice Address - Street 1:136 NEW SMITH DR
Practice Address - Street 2:
Practice Address - City:KUNKLETOWN
Practice Address - State:PA
Practice Address - Zip Code:18058-2501
Practice Address - Country:US
Practice Address - Phone:215-510-7819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013886101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional