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1285053132
JEFF WAYNE PONTES
ALBUQUERQUE, NM
NPI
1285053132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM 0170131)
Enumeration Date
2014-04-08
Last Update Date
2017-10-24
Business Address
Mr. JEFF WAYNE PONTES LPCC
4300 SILVER AVE SE STE F
ALBUQUERQUE, NM 87108-2748
Phone number: 505-255-1804
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Mailing Address
Mr. JEFF WAYNE PONTES LPCC
621 WALTER ST
ALBUQUERQUE, NM 87102
Phone number: 505-918-7955
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