GLEN WONG CSAC NPI 1356418859

NPI Information

NPI: 1356418859
Provider Name: GLEN WONG, CSAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
86-226 FARRINGTON HIGHWAY
WAIANAE, HI
ZIP 96792
Phone: (808) 696-4211
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Glen Wong, CSAC is an addiction (substance use disorder) counselor in Waianae, HI. Glen Wong, CSAC NPI is 1356418859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

86-226 FARRINGTON HIGHWAY
WAIANAE, HI
ZIP 96792-128
Phone: (808) 696-4211
Fax: (808) 696-5516

The enumeration date for this NPI number is 11/29/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000596742	OTHER	HAWAII	HMSA QUEST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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