Pik Ching Wong, LPC
Counselor in Pocatello, ID. Individual provider (NPI-1).
NPI number1619709011
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1619709011
- Entity type
- Individual (NPI-1)
- Name
- Pik Ching Wong
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LPC-10574 | ID | Yes |
Practice location
151 N 3rd Ave Ste 101Pocatello, ID 83201-6367
Phone 208-505-9990
Mailing address
Po Box 261Heber City, UT 84032-0261
Phone 208-505-9990
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All 70 Counselor providers in Pocatello · All 2,770 providers in Pocatello
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