| Mr Antonio Wong-rivadeneyra, LCSW | |
|
1761 Broadway, Suite 100, Vallejo, CA 94589-2226 | |
| (707) 645-2341 | |
| (707) 645-2181 |
| Full Name | Mr Antonio Wong-rivadeneyra |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1761 Broadway, Vallejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992855191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCS10296 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Antonio Wong-rivadeneyra, LCSW 1761 Broadway, Suite 100, Vallejo, CA 94589-2226 Ph: (707) 645-2341 | Mr Antonio Wong-rivadeneyra, LCSW 1761 Broadway, Suite 100, Vallejo, CA 94589-2226 Ph: (707) 645-2341 |
Leata Jeames, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Tuolumne St, Vallejo, CA 94589 Phone: 707-558-1777 Fax: 707-558-1770 | |
Ned L Jacobs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Tiffany Marie Tyler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 Tuolumne St, Vallejo, CA 94590 Phone: 707-648-8121 Fax: 707-648-8129 | |
Michelle Reneta Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Ohio St, Vallejo, CA 94590 Phone: 415-707-2577 Fax: 707-644-5501 | |
Mr. Bjay Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Georgia Street, Vallejo, CA 94590 Phone: 510-229-2786 | |
Mrs. Tracy Jean Royer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Annette Thomas Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1131 Cunningham St, Vallejo, CA 94590 Phone: 415-492-0818 Fax: 415-492-0834 |