MARTIN AMABLE PONCIANO

SANTA CRUZ, CA
NPI1245595529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95259414)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  MFC 96247)
Enumeration Date2012-07-12
Last Update Date2024-04-24
Business Address
Mr. MARTIN AMABLE PONCIANO RN, LMFT
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2800
Mailing Address
Mr. MARTIN AMABLE PONCIANO RN, LMFT
225 MAIN ST # 945
WATSONVILLE, CA 95076-9998
Phone number: 619-274-1682