Provider Demographics
NPI:1457821696
Name:BUI, BUU-CHAU (LPC)
Entity Type:Individual
Prefix:
First Name:BUU-CHAU
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:4 HENDRICKSON AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-6155
Mailing Address - Country:US
Mailing Address - Phone:732-676-8314
Mailing Address - Fax:
Practice Address - Street 1:4 HENDRICKSON AVE STE 2
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-6155
Practice Address - Country:US
Practice Address - Phone:732-676-8314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00638500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health