person
Mr. Antonio Wong-rivadeneyra, LCSW
Mental Health Counselor in Vallejo, California
NPI 1992855191

Antonio Wong-rivadeneyra is a Mental Health Counselor based in Vallejo, CA and is specialized in Mental Health. Antonio Wong-rivadeneyra practices in Vallejo, CA and has the professional credentials of LCSW. The NPI Number for Antonio Wong-rivadeneyra is 1992855191 and holds a License No. LCS10296 (California).

The current practice location address for Antonio Wong-rivadeneyra is 1761 Broadway, Vallejo, CA and can be reached out via phone at 707-645-2341 and via fax at 707-645-2181.

Location: 1761 Broadway, Vallejo, CA, 94589-2226
person
Provider Profile Details
NPI Number
1992855191
Provider Name
Antonio Wong-rivadeneyra
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1761 Broadway, Vallejo, CA, 94589-2226
Phone Number
707-645-2341
Fax Number
707-645-2181
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1761 Broadway
City
State
Zip
94589-2226
Phone Number
707-645-2341
Fax Number
707-645-2181
person
Provider Business Mailing Address Details
Address
1761 Broadway
City
State
Zip
94589-2226
Phone Number
707-645-2341
Fax Number
707-645-2181
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCS10296 (California)
Definition
Definition to come...
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