Individual provider · Type 1 NPI

Michael Gong

Addiction (Substance Use Disorder) Counselor · Watsonville, CA

NPI number 1003147562 Active

Practice location

335 E Lake Ave
Watsonville, CA 95076-4826

Fax (831) 761-6011

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003147562

Michael Gong's National Provider Identifier is 1003147562, issued on Jan 22, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Watsonville, CA. The record was last updated on Jan 22, 2010.