MICHAEL GONG

WATSONVILLE, CA
NPI1003147562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-01-22
Last Update Date2010-01-22
Business Address
-- MICHAEL GONG
335 E LAKE AVE
WATSONVILLE, CA 95076-4826
Phone number: 831-728-6445
Mailing Address
-- MICHAEL GONG
335 E LAKE AVE
WATSONVILLE, CA 95076-4826
Phone number: 831-728-6445
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