HOLLY NICHOLE PONG

WEST SACRAMENTO, CA
NPI1386816247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-03-31
Last Update Date2008-03-31
Business Address
-- HOLLY NICHOLE PONG
500B JEFFERSON BLVD # 195
WEST SACRAMENTO, CA 95605-2349
Phone number: 530-403-2970
Mailing Address
-- HOLLY NICHOLE PONG
PO BOX 1260
DAVIS, CA 95617-1260
Phone number: 530-753-3498
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