Provider Demographics
NPI:1346561305
Name:TONG, WAI KAI KAREN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:WAI KAI
Middle Name:KAREN
Last Name:TONG
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2307
Mailing Address - Country:US
Mailing Address - Phone:626-737-1096
Mailing Address - Fax:626-737-1096
Practice Address - Street 1:41 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2307
Practice Address - Country:US
Practice Address - Phone:626-737-1096
Practice Address - Fax:626-737-1096
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000803-1106H00000X
CA84808106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist