Individual provider · Type 1 NPI

Holly Nichole Pong

Addiction (Substance Use Disorder) Counselor · West Sacramento, CA

NPI number 1386816247 Active

Practice location

500B Jefferson Blvd # 195
West Sacramento, CA 95605-2349

Call (530) 403-2970 Map

Mailing address

PO Box 1260
Davis, CA 95617-1260

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 1386816247

Holly Nichole Pong's National Provider Identifier is 1386816247, issued on Mar 31, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Sacramento, CA. The record was last updated on Mar 31, 2008.