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Individual

MS. JACQUELINE ONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC, LADC-S

Contact information

Practice address
2560 BUSINESS PKWY, STE A, MINDEN, NV 89423-8961
(775) 721-0921
Mailing address
963 TOPSY LN STE 306, CARSON CITY, NV 89705-8407
(775) 721-0921

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06789-L
NV
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/23/2021
Last updated
08/07/2023
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