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Individual
PETER WONG
Active
Individual
PETER WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YM0800X
Mental Health Counselor
—
CA
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
1467995241
CA
Other
Enumeration date
11/28/2016
Last updated
04/06/2026
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