Ponish, Charlotte D

Ponish, Charlotte D is an individual health care provider with primary practice located at 115 N Dixie Dr Ste 250 , Lake Jackson TX 77566-5906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ponish, Charlotte D can be contacted via phone (361) 649-1454.

Contact Information

Primary practice address
115 N Dixie Dr Ste 250 Lake Jackson TX 77566-5906
Phone: (361) 649-1454
Fax: (979) 529-9853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 64264 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 64264 Texas

Profile Details

NPI number 1750663688
LBN Legal business name Ponish, Charlotte D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2011
Last updated Apr 4th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750663688 NPPES
Texas Other 64264 LPC LICENSE

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