IndividualActive
Glen Wong, CSAC
NPI 1356418859 · Addiction (Substance Use Disorder) Counselor · Waianae, HI
Provider details
- NPI number
- 1356418859
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CSAC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
86-226 Farrington Highway
Waianae, HI 96792-3128
Phone: (808) 696-4211
Fax: (808) 696-5516
Approximate (ZIP-level) locationGet directions
Mailing address
86-226 Farrington Hwy
Waianae, HI 96792-3128
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.