Individual provider · Type 1 NPI

Tehauna Souix Ponce

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1760633200 Active

Practice location

1017 Tennessee St
Vallejo, CA 94590-4547

Call (707) 647-1520 Map

Fax (707) 647-1513

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 1760633200

Tehauna Souix Ponce's National Provider Identifier is 1760633200, issued on Oct 2, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Oct 2, 2008.