Individual
CARMEN K. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8114 QUEENS BLVD, ELMHURST, NY 11373-3789
(718) 899-9810
(718) 899-9699
Mailing address
6344 SAUNDERS ST APT 2D, REGO PARK, NY 11374-2041
(973) 819-6888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
C32561117258832
NJ
Other
Enumeration date
05/15/2014
Last updated
07/14/2016
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