Individual provider · Type 1 NPI

Antonio Wong-Rivadeneyra, LCSW

Mental Health Counselor · Vallejo, CA

NPI number 1992855191 Active

Practice location

1761 Broadway, Suite 100
Vallejo, CA 94589-2226

Call (707) 645-2341 Map

Fax (707) 645-2181

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCS10296 (CA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1992855191

Antonio Wong-Rivadeneyra, LCSW's National Provider Identifier is 1992855191, issued on Jan 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Jul 8, 2007.