Individual provider · Type 1 NPI

Fidel Ponce, BA

Mental Health Counselor · Dekalb, IL

NPI number 1487353660 Active

Practice location

12 Health Services Dr
Dekalb, IL 60115-9637

Call (815) 756-4875 Map

Fax (815) 756-2944

Mailing address

PO Box 1109
Dekalb, IL 60115-7109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487353660

Fidel Ponce, BA's National Provider Identifier is 1487353660, issued on Feb 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dekalb, IL. The record was last updated on Feb 27, 2023.