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Tehauna Souix Ponce

Counselor, Addiction (Substance Use Disorder) in Vallejo, CA. Individual provider (NPI-1).

NPI number1760633200
StatusActive
Last updated in NPPESOct 2, 2008

Details

NPI
1760633200
Entity type
Individual (NPI-1)
Name
Tehauna Souix Ponce
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2008
Last updated
Oct 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

1017 Tennessee St
Vallejo, CA 94590-4547

Phone 707-647-1520 · Fax 707-647-1513

Mailing address

1017 Tennessee St
Vallejo, CA 94590-4547

Phone 707-647-1520 · Fax 707-647-1513

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