Individual
ALYSIA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2595 DEPOT RD, HAYWARD, CA 94545-2341
(510) 300-2485
Mailing address
2980 SAN MINETE DR, LIVERMORE, CA 94550-8201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMF82144
CA
Other
Enumeration date
02/16/2015
Last updated
09/06/2017
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