Kenton Jung L.C.S.W.

NPI 1194940759 - Social Worker - 1041C0700X

NPI Details
NPI 1194940759
Gender Male
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1863 KASHLAN RD
LA HABRA HEIGHTS CA, 90631-8455, US
Phone (562) 690-2923
Fax (562) 690-5666
Business Location
1863 KASHLAN RD
LA HABRA HEIGHTS CA, 90631-8455, US
Phone (562) 690-2923
Fax (562) 690-5666
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS4469
Remove 1194940759 NPI Number
 

According to our database, Mr. Kenton Jung L.C.S.W. NPI is 1194940759, taxonomy code is 1041C0700X and license number is LCS4469, license state is located at California. Kenton Jung L.C.S.W. physically located at 1863 Kashlan Rd, La Habra Heights CA, 90631-8455. NPI Number Kenton Jung L.C.S.W. has the Individual type.

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1194940759 NPI number is provided on an as is basis without warranty of any kind. 1194940759 is maintained by the National Plan & Provider Enumeration System. The contents of Kenton Jung L.C.S.W. are for informational purposes only.