person
Mr. Jeffery Ponce
Addiction (Substance Use Disorder) Counselor in Fremont, California
NPI 1295923357

Jeffery Ponce is an Addiction (Substance Use Disorder) Counselor based in Fremont, CA and is specialized in Addiction (Substance Use Disorder). Jeffery Ponce practices in Fremont, CA. The NPI Number for Jeffery Ponce is 1295923357 and holds a License No. P0412282013 (California).

The current practice location address for Jeffery Ponce is 4510 Peralta Blvd, Fremont, CA and can be reached out via phone at 510-713-3202 and via fax at 510-713-0684. You can also correspond with Jeffery Ponce through the mailing address at 4510 PERALTA BLVD, FREMONT, CA - 94536-5755 (mailing address contact number: 510-713-3202).

Location: 4510 Peralta Blvd, Fremont, CA, 94536-5755
person
Provider Profile Details
NPI Number
1295923357
Provider Name
Jeffery Ponce
Credential
Provider Entity Type
Individual
Gender
Male
Address
4510 Peralta Blvd, Fremont, CA, 94536-5755
Phone Number
510-713-3202
Fax Number
510-713-0684
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P0412282013 01 CA BREINING INSTITUTE
institution
Provider Business Practice Location Address Details
Address
4510 Peralta Blvd
City
State
Zip
94536-5755
Phone Number
510-713-3202
Fax Number
510-713-0684
person
Provider Business Mailing Address Details
Address
4510 Peralta Blvd
City
State
Zip
94536-5755
Phone Number
510-713-3202
Fax Number
510-713-0684
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
P0412282013 (California)
Definition
Definition to come...
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