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Michael Gong
Mental Health Counselor in Oakland, California
NPI 1861806432

Michael Gong is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Michael Gong practices in Oakland, CA. The NPI Number for Michael Gong is 1861806432 and holds a License No. (California).

The current practice location address for Michael Gong is 2579 San Pablo Ave, Oakland, CA and can be reached out via phone at 510-446-7161.

Location: 2579 San Pablo Ave, Oakland, CA, 94612-1159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861806432
Provider Name
Michael Gong
Credential
Provider Entity Type
Individual
Gender
Male
Address
2579 San Pablo Ave, Oakland, CA, 94612-1159
Phone Number
510-446-7161
Fax Number
Provider Enumeration Date
06/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2579 San Pablo Ave
City
Oakland
State
California
Zip
94612-1159
Phone Number
510-446-7161
Fax Number
person
Provider Business Mailing Address Details
Address
2579 San Pablo Ave
City
Oakland
State
California
Zip
94612-1159
Phone Number
510-446-7161
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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