Individual provider · Type 1 NPI
Vannak Kong, BA
Mental Health Counselor · Lowell, MA
NPI number
1982987640
Active
Practice location
35 John St Fl 1
Lowell, MA 01852-1101
Fax (978) 275-6480
Mailing address
51 Blodgett St
Lowell, MA 01851-4631
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 1982987640
Vannak Kong, BA's National Provider Identifier is 1982987640, issued on Sep 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lowell, MA. The record was last updated on Sep 20, 2011.