KONG N/A VANG

SACRAMENTO, CA
NPI1164014478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  11385)
Enumeration Date2021-02-08
Last Update Date2021-02-08
Business Address
KONG N/A VANG
7240 E SOUTHGATE DR STE G
SACRAMENTO, CA 95823-2627
Phone number: 916-391-4293
Mailing Address
KONG N/A VANG
8049 MORGAN HILL WAY
SACRAMENTO, CA 95828-6348
Phone number: 916-385-8090
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