Individual provider · Type 1 NPI

Guadalupe Ponce

Addiction (Substance Use Disorder) Counselor · Covina, CA

NPI number 1174906630 Active

Practice location

17727 E Cypress St
Covina, CA 91722-2634

Call (626) 967-2677 Map

Fax (626) 858-4923

Mailing address

1263 Lownes Pl
Pomona, CA 91766-4214

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XF5091083 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174906630

Guadalupe Ponce's National Provider Identifier is 1174906630, issued on Jul 1, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Covina, CA. The record was last updated on Jul 1, 2015.