Individual provider · Type 1 NPI

Michael Gong

Mental Health Counselor · Oakland, CA

NPI number 1861806432 Active

Practice location

2579 San Pablo Ave
Oakland, CA 94612-1159

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1861806432

Michael Gong's National Provider Identifier is 1861806432, issued on Jun 11, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Jun 11, 2014.