person
Glen Wong, CSAC
Addiction (Substance Use Disorder) Counselor in Waianae, Hawaii
NPI 1356418859

Glen Wong is an Addiction (Substance Use Disorder) Counselor based in Waianae, HI and is specialized in Addiction (Substance Use Disorder). Glen Wong practices in Waianae, HI and has the professional credentials of CSAC. The NPI Number for Glen Wong is 1356418859 and holds a License No. (Hawaii).

The current practice location address for Glen Wong is 86-226 Farrington Highway, Waianae, HI and can be reached out via phone at 808-696-4211 and via fax at 808-696-5516. You can also correspond with Glen Wong through the mailing address at 86-226 FARRINGTON HWY, WAIANAE, HI - 96792-3128 (mailing address contact number: 808-696-4211).

Location: 86-226 Farrington Highway, Waianae, HI, 96792-3128
person
Provider Profile Details
NPI Number
1356418859
Provider Name
Glen Wong
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
86-226 Farrington Highway, Waianae, HI, 96792-3128
Phone Number
808-696-4211
Fax Number
808-696-5516
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000596742 01 HI HMSA QUEST
institution
Provider Business Practice Location Address Details
Address
86-226 Farrington Highway
City
State
Zip
96792-3128
Phone Number
808-696-4211
Fax Number
808-696-5516
person
Provider Business Mailing Address Details
Address
86-226 Farrington Highway
City
State
Zip
96792-3128
Phone Number
808-696-4211
Fax Number
808-696-5516
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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