person
Charlotte D Ponish, LPC
Mental Health Counselor in Lake Jackson, Texas
NPI 1750663688

Charlotte D Ponish is a Mental Health Counselor based in Lake Jackson, TX and is specialized in Mental Health. Charlotte D Ponish practices in Lake Jackson, TX and has the professional credentials of LPC. The NPI Number for Charlotte D Ponish is 1750663688 and holds a License No. 64264 (Texas).

The current practice location address for Charlotte D Ponish is 115 N Dixie Dr Ste 250, Lake Jackson, TX and can be reached out via phone at 361-649-1454 and via fax at 979-529-9853.

Location: 115 N Dixie Dr Ste 250, Lake Jackson, TX, 77566-0491
person
Provider Profile Details
NPI Number
1750663688
Provider Name
Charlotte D Ponish
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
115 N Dixie Dr Ste 250, Lake Jackson, TX, 77566-0491
Phone Number
361-649-1454
Fax Number
979-529-9853
Provider Enumeration Date
09/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64264 01 TX LPC LICENSE
institution
Provider Business Practice Location Address Details
Address
115 N Dixie Dr Ste 250
City
State
Zip
77566-5906
Phone Number
361-649-1454
Fax Number
979-529-9853
person
Provider Business Mailing Address Details
Address
115 N Dixie Dr Ste 250
City
State
Zip
77566-5906
Phone Number
361-649-1454
Fax Number
979-529-9853
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
64264 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
64264 (Texas)
Definition
Definition to come...
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