Individual
CARMEN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 ADELINE ST, SUITE 120, BERKELEY, CA 94703-2576
(510) 848-1112
(510) 848-4445
Mailing address
3075 ADELINE ST, SUITE 120, BERKELEY, CA 94703-2576
(510) 848-1112
(510) 848-4445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2008
Last updated
05/07/2012
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