Johnny Vong
Marriage & Family Therapist in Oakland, CA. Individual provider (NPI-1).
NPI number1801717954
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1801717954
- Entity type
- Individual (NPI-1)
- Name
- Johnny Vong
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2026
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
554 Grand AveOakland, CA 94610-3515
Phone 510-444-1671
Mailing address
554 Grand AveOakland, CA 94610-3515
Phone 760-485-8358
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