Ponciano, Martin Amable

Ponciano, Martin Amable is an individual health care provider with primary practice located at 2250 Soquel Ave , Santa Cruz CA 95062-1402. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Ponciano, Martin Amable can be contacted via phone (831) 600-2800.

Contact Information

Primary practice address
2250 Soquel Ave Santa Cruz CA 95062-1402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 96247 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95259414 California

Profile Details

NPI number 1245595529
LBN Legal business name Ponciano, Martin Amable
Credentials RN, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2012
Last updated Apr 24th, 2024 - about 7 months 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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