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Individual

MR. KEVIN JOSEPH CHEUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3830 E VAN BUREN ST, PHOENIX, AZ 85008-6920
(602) 323-3344
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161348
OH
1041C0700X
Clinical Social Worker
I. 1700317
OH
1041C0700X
Clinical Social Worker
I.1700317-SUPV
OH
1041C0700X
Clinical Social Worker
Primary
LCSW-20143
AZ

Other

Enumeration date
08/30/2016
Last updated
02/21/2023
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