Kent Luong
Counselor, Mental Health in West Haven, CT. Individual provider (NPI-1).
NPI number1124538020
StatusActive
Last updated in NPPESOct 5, 2017
Details
- NPI
- 1124538020
- Entity type
- Individual (NPI-1)
- Name
- Kent Luong
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2017
- Last updated
- Oct 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
392 Elm St Apt G3West Haven, CT 06516-4245
Phone 203-508-5048
Mailing address
392 Elm St Apt G3West Haven, CT 06516-4245
Phone 203-508-5048
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