NATHANIEL EDISON PONDER

CANTON, MI
NPI1033724943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-09-09
Last Update Date2020-09-10
Business Address
Mr. NATHANIEL EDISON PONDER CADC, CTP-C
50430 SCHOOL HOUSE RD
CANTON, MI 48187-5910
Phone number: 734-495-1722
Mailing Address
Mr. NATHANIEL EDISON PONDER CADC, CTP-C
50430 SCHOOL HOUSE RD
CANTON, MI 48187-5910
Phone number: 734-495-1722
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