Michael Gong
Michael Gong is an Addiction (Substance Use Disorder) Counselor in Watsonville, California. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
335 E Lake AveWatsonville, CA 95076-4826
Phone: (831) 728-6445
Fax: (831) 761-6011
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1003147562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 22, 2010 |
| Last updated in NPPES | January 22, 2010 |
| Mailing address | 335 E Lake Ave, Watsonville, CA 95076-4826 |
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