TAEHO L CHUNG

SAN RAFAEL, CA
NPI1841137858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2026-04-29
Last Update Date2026-04-29
Business Address
TAEHO L CHUNG JD
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-456-6655
Mailing Address
TAEHO L CHUNG JD
460 SAMUEL CT
BENICIA, CA 94510-3970
Phone number: 415-456-6655
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