Individual
JOSEPH A MONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CDCA
Contact information
Practice address
624 E MAIN ST, LANCASTER, OH 43130
(740) 687-0042
(740) 687-6677
Mailing address
624 E MAIN ST, LANCASTER, OH 43130-3903
(740) 687-0042
(740) 687-6677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165204
OH
101YM0800X
Mental Health Counselor
Primary
C.1801255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864002
—
OH
Enumeration date
03/13/2018
Last updated
06/11/2018
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