MATTHEW PONAK

BOULDER, CO
NPI1558759399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  NLC.0105066)
Enumeration Date2015-01-01
Last Update Date2015-01-01
Business Address
-- MATTHEW PONAK MA
1200 YARMOUTH AVE UNIT C-1B
BOULDER, CO 80304-4803
Phone number: 303-786-9314
Mailing Address
-- MATTHEW PONAK MA
1200 YARMOUTH AVE UNIT C-1B
BOULDER, CO 80304-4803
Phone number:
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