Provider Demographics
NPI:1649060344
Name:VUONG, TERESA
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:
Last Name:VUONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 SPENCER ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2254
Mailing Address - Country:US
Mailing Address - Phone:310-533-4542
Mailing Address - Fax:
Practice Address - Street 1:4820 SPENCER ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-2254
Practice Address - Country:US
Practice Address - Phone:310-533-4542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool