Individual provider · Type 1 NPI
Glen Wong, CSAC
Addiction (Substance Use Disorder) Counselor · Waianae, HI
NPI number
1356418859
Active
Practice location
86-226 Farrington Highway
Waianae, HI 96792-3128
Fax (808) 696-5516
Mailing address
86-226 Farrington Hwy
Waianae, HI 96792-3128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Waianae
About NPI 1356418859
Glen Wong, CSAC's National Provider Identifier is 1356418859, issued on Nov 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waianae, HI. The record was last updated on Jul 8, 2007.