TERESA LOUISE PONIKVAR

SAN MATEO, CA
NPI1548996622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Additional Taxonomies101YS0200X Counselor, School
Enumeration Date2022-07-29
Last Update Date2022-07-29
Business Address
TERESA LOUISE PONIKVAR
411 BOREL AVE STE 101
SAN MATEO, CA 94402-3525
Phone number: 650-393-8929
Mailing Address
TERESA LOUISE PONIKVAR
764 BLAISDELL CT
SAN JOSE, CA 95117-2503
Phone number: 408-896-5087