Individual provider · Type 1 NPI
Jonathan Fong
Mental Health Counselor · San Jose, CA
NPI number
1053660787
Active
Practice location
2625 Zanker Rd
San Jose, CA 95134-2130
Fax (408) 944-0275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1053660787
Jonathan Fong's National Provider Identifier is 1053660787, issued on Sep 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Aug 6, 2013.