Ponce, Mario Ricardo

Ponce, Mario Ricardo is an individual health care provider with primary practice located at 70 West Hedding Street County Of Santa Clara, San Jose CA 95110. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ponce, Mario Ricardo can be contacted via phone (408) 494-1561.

Contact Information

Primary practice address
70 West Hedding Street County Of Santa Clara San Jose CA 95110
Phone: (408) 494-1561
Fax: (408) 494-1535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 72341 California

Profile Details

NPI number 1750442208
LBN Legal business name Ponce, Mario Ricardo
Credentials MA, MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Aug 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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