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Holly Nichole Pong
Addiction (Substance Use Disorder) Counselor in West Sacramento, California
NPI 1386816247

Holly Nichole Pong is an Addiction (Substance Use Disorder) Counselor based in Davis, CA and is specialized in Addiction (Substance Use Disorder). Holly Nichole Pong practices in West Sacramento, CA. The NPI Number for Holly Nichole Pong is 1386816247 and holds a License No. (California).

The current practice location address for Holly Nichole Pong is 500B Jefferson Blvd # 195, West Sacramento, CA and can be reached out via phone at 530-403-2970.

Location: 500B Jefferson Blvd # 195, West Sacramento, CA, 95617-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386816247
Provider Name
Holly Nichole Pong
Credential
Provider Entity Type
Individual
Gender
Female
Address
500B Jefferson Blvd # 195, West Sacramento, CA, 95617-1260
Phone Number
530-403-2970
Fax Number
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500B Jefferson Blvd # 195
City
West Sacramento
State
California
Zip
95605-2349
Phone Number
530-403-2970
Fax Number
person
Provider Business Mailing Address Details
Address
500B Jefferson Blvd # 195
City
West Sacramento
State
California
Zip
95605-2349
Phone Number
530-403-2970
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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