Individual
PIK CHING WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
151 N 3RD AVE STE 101, POCATELLO, ID 83201-6367
(208) 505-9990
Mailing address
PO BOX 261, HEBER CITY, UT 84032-0261
(208) 505-9990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-10574
ID
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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