SHASTA PONDER

PORTSMOUTH, OH
NPI1639890015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.184368)
Enumeration Date2022-09-06
Last Update Date2026-03-18
Business Address
SHASTA PONDER
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
Mailing Address
SHASTA PONDER
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
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