Individual provider · Type 1 NPI

Jeffery Ponce

Addiction (Substance Use Disorder) Counselor · Fremont, CA

NPI number 1295923357 Active

Practice location

4510 Peralta Blvd, Suite 1
Fremont, CA 94536-5755

Call (510) 713-3202 Map

Fax (510) 713-0684

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XP0412282013 (CA)

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

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About NPI 1295923357

Jeffery Ponce's National Provider Identifier is 1295923357, issued on Oct 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, CA. The record was last updated on Dec 31, 2024.