person
Fidel Ponce, BA
Mental Health Counselor in Dekalb, Illinois
NPI 1487353660

Fidel Ponce is a Mental Health Counselor based in Dekalb, IL and is specialized in Mental Health. Fidel Ponce practices in Dekalb, IL and has the professional credentials of BA. The NPI Number for Fidel Ponce is 1487353660 and holds a License No. (Illinois).

The current practice location address for Fidel Ponce is 12 Health Services Dr, Dekalb, IL and can be reached out via phone at 815-756-4875 and via fax at 815-756-2944.

Location: 12 Health Services Dr, Dekalb, IL, 60115-7109
person
Provider Profile Details
NPI Number
1487353660
Provider Name
Fidel Ponce
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
12 Health Services Dr, Dekalb, IL, 60115-7109
Phone Number
815-756-4875
Fax Number
815-756-2944
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
474579189001 05 IL
institution
Provider Business Practice Location Address Details
Address
12 Health Services Dr
City
State
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
815-756-2944
person
Provider Business Mailing Address Details
Address
12 Health Services Dr
City
State
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
815-756-2944
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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