Individual provider · Type 1 NPI

Martin Amable Ponciano, RN, LMFT

Psychiatric/Mental Health Registered Nurse · Santa Cruz, CA

NPI number 1245595529 Active

Practice location

2250 Soquel Ave
Santa Cruz, CA 95062-1402

Mailing address

225 Main St # 945
Watsonville, CA 95076-9998

Other practice locations

  • 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 · (619) 481-5200
  • 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 · (858) 609-8742

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XMFC 96247 (CA)
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X95259414 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1245595529

Martin Amable Ponciano, RN, LMFT's National Provider Identifier is 1245595529, issued on Jul 12, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Santa Cruz, CA. The record was last updated on Apr 24, 2024.