Individual provider · Type 1 NPI

Beverly Ponder, PhD

Addiction (Substance Use Disorder) Counselor · Henderson, NV

NPI number 1396218699 Active

Practice location

1536 N Boulder Hwy
Henderson, NV 89011-4120

Call (702) 558-8600 Map

Fax (702) 558-8700

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1396218699

Beverly Ponder, PhD's National Provider Identifier is 1396218699, issued on Jan 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Henderson, NV. The record was last updated on Feb 17, 2021.