TEHAUNA SOUIX PONCE

VALLEJO, CA
NPI1760633200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-10-02
Last Update Date2008-10-02
Business Address
-- TEHAUNA SOUIX PONCE
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: 707-647-1520
Mailing Address
-- TEHAUNA SOUIX PONCE
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: 707-647-1520