FELIPE PONCE

SANTA CRUZ, CA
NPI1831755263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-10
Last Update Date2019-05-10
Business Address
FELIPE PONCE
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Mailing Address
FELIPE PONCE
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700