person
Shannen Isabelle Ponce Mosqueda, ASW
Mental Health Clinic/Center (Including Community Mental Health Center) in Anaheim, California
NPI 1790489433

Shannen Isabelle Ponce Mosqueda is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Anaheim, CA and is specialized in Mental Health (Including Community Mental Health Center). Shannen Isabelle Ponce Mosqueda practices in Anaheim, CA and has the professional credentials of ASW. The NPI Number for Shannen Isabelle Ponce Mosqueda is 1790489433 and holds a License No. 85901 (California).

The current practice location address for Shannen Isabelle Ponce Mosqueda is 1588 W Rene Dr, Anaheim, CA and can be reached out via phone at 714-348-4530.

Location: 1588 W Rene Dr, Anaheim, CA, 92802-1353
person
Provider Profile Details
NPI Number
1790489433
Provider Name
Shannen Isabelle Ponce Mosqueda
Credential
ASW
Provider Entity Type
Individual
Gender
Female
Address
1588 W Rene Dr, Anaheim, CA, 92802-1353
Phone Number
714-348-4530
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1588 W Rene Dr
City
State
Zip
92802-1353
Phone Number
714-348-4530
Fax Number
person
Provider Business Mailing Address Details
Address
1588 W Rene Dr
City
State
Zip
92802-1353
Phone Number
714-348-4530
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
85901 (California)
Definition
Definition to come...
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