Provider Demographics
NPI:1770046112
Name:TU, KUAN HSUAN (LPC)
Entity Type:Individual
Prefix:
First Name:KUAN HSUAN
Middle Name:
Last Name:TU
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 1:16817 COIT RD # 1078
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1748
Mailing Address - Country:US
Mailing Address - Phone:469-278-6426
Mailing Address - Fax:
Practice Address - Street 1:16817 COIT RD # 1078
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1748
Practice Address - Country:US
Practice Address - Phone:469-278-6426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81374101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional