Jonathan Fong
Jonathan Fong is a Clinical Social Worker in Inglewood, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
520 N La Brea AveInglewood, CA 90302-3049
Phone: (323) 293-6284
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 103156 (CA) |
Record details
| NPI number | 1760029045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 5, 2019 |
| Last updated in NPPES | October 26, 2021 |
| Certification date | October 26, 2021 |
| Mailing address | 1319 Barrington Way Unit 104, Glendale, CA 91206-5631 |
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