Individual provider · Type 1 NPI

Jonathan Fong

Addiction (Substance Use Disorder) Counselor · Inglewood, CA

NPI number 1760029045 Active

Practice location

520 N La Brea Ave
Inglewood, CA 90302-3049

Call (323) 293-6284 Map

Mailing address

1319 Barrington Way Unit 104
Glendale, CA 91206-5631

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X103156 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1760029045

Jonathan Fong's National Provider Identifier is 1760029045, issued on Dec 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Oct 26, 2021.