Michael Gong
NPI #1003147562 in Watsonville, California
Provider Information
- NPI Number
- 1003147562
- Entity Type
- Individual
- Name
- Michael Gong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 22, 2010
- Last Updated
- Jan 22, 2010
Practice Location
- Address
- 335 E LAKE AVE
- City
- Watsonville
- State
- California
- ZIP Code
- 95076-4826
- Phone
- (831) 728-6445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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