Jonathan Dean Ponser, M.A., LCPC, NCC
Counselor, Professional in Springfield, IL. Individual provider (NPI-1).
NPI number1003045337
StatusActive
Last updated in NPPESOct 8, 2013
Details
- NPI
- 1003045337
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonathan Dean Ponser
- Credential
- M.A., LCPC, NCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2009
- Last updated
- Oct 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180007267 | IL | Yes |
Practice location
901 N 1st StSpringfield, IL 62702-3759
Phone 217-788-4065 · Fax 217-778-8414
Mailing address
710 N 8th StSpringfield, IL 62702-6324
Phone 217-525-1064 · Fax 217-525-1651
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