Individual ProviderKhiet DuongCounselorBehavioral Health & Social Service ProvidersPractice Address14949 62nd St N, Stillwater, MN 55082-6132(651) 430-6592PECOS EnrollmentBased on the most recent information from CMS, provider Khiet Duong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679127914Provider TypeIndividualFull NameDuong, KhietGenderFemaleSole ProprietorNoEnumeration Date7/25/2019Last Updated7/25/2019Contact InformationPractice LocationPractice Address14949 62nd St N, Stillwater, MN 55082-6132Phone(651) 430-6592FaxUnlisted FaxMailing LocationMailing Address14949 62nd St N, Stillwater, MN 55082-6132Phone(651) 430-6592FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer