JASON GONG

CHESTER, PA
NPI1245668995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-10-16
Last Update Date2013-10-16
Business Address
-- JASON GONG ma
2600 W 9TH ST
CHESTER, PA 19013-2040
Phone number: 610-497-7200
Mailing Address
-- JASON GONG ma
2600 W 9TH ST
CHESTER, PA 19013-2040
Phone number: 610-497-7200
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