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Individual

JONATHAN LUN HOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACSW

Contact information

Practice address
631 S BROOKHURST ST, ANAHEIM, CA 92804-3510
(714) 620-8131
Mailing address
18767 SAN FELIPE ST, FOUNTAIN VALLEY, CA 92708-7435
(657) 203-7807

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1622230725
CA
104100000X
Social Worker
Primary
139367
CA

Other

Enumeration date
11/02/2022
Last updated
07/15/2026
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