Individual
MR. BRIAN MICHAEL GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
401 LINTON BLVD, SUITE 200-A, DELRAY BEACH, FL 33444
(561) 501-1008
(561) 431-2608
Mailing address
401 LINTON BLVD, SUITE 200-A, DELRAY BEACH, FL 33444
(561) 501-1008
(561) 431-2608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH14460
FL
101YP2500X
Professional Counselor
Primary
LC7820
MD
Other
Enumeration date
05/31/2017
Last updated
09/18/2020
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