person
Matthew Ponak, MA
Mental Health Counselor in Boulder, Colorado
NPI 1558759399

Matthew Ponak is a Mental Health Counselor based in Boulder, CO and is specialized in Mental Health. Matthew Ponak practices in Boulder, CO and has the professional credentials of MA. The NPI Number for Matthew Ponak is 1558759399 and holds a License No. NLC.0105066 (Colorado).

The current practice location address for Matthew Ponak is 1200 Yarmouth Ave Unit C-1B, Boulder, CO and can be reached out via phone at 303-786-9314.

Location: 1200 Yarmouth Ave Unit C-1B, Boulder, CO, 80304-4803
person
Provider Profile Details
NPI Number
1558759399
Provider Name
Matthew Ponak
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1200 Yarmouth Ave Unit C-1B, Boulder, CO, 80304-4803
Phone Number
303-786-9314
Fax Number
Provider Enumeration Date
01/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 Yarmouth Ave Unit C-1B
City
State
Zip
80304-4803
Phone Number
303-786-9314
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Yarmouth Ave Unit C-1B
City
State
Zip
80304-4803
Phone Number
303-786-9314
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
NLC.0105066 (Colorado)
Definition
Definition to come...
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