| Brian Gong Psychotherapy, Llc | |
|
401 Linton Blvd Suite 200-a Delray Beach FL 33444 | |
| (561) 501-1008 | |
| (561) 431-2608 |
| Full Name | Brian Gong Psychotherapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 401 Linton Blvd, Delray Beach, Florida |
| Authorized Official Name and Position | Brian Michael Gong (OWNER/PHYCOTHERAPIST) |
| Authorized Official Contact | 5615011008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Gong Psychotherapy, Llc 401 Linton Blvd Suite 200-a Delray Beach FL 33444 Ph: (561) 501-1008 | Brian Gong Psychotherapy, Llc 401 Linton Blvd Suite 200-a Delray Beach FL 33444 Ph: (561) 501-1008 |
| NPI Number | 1033614037 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033614037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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