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Individual

EVELYN PONCE RANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, ACSW

Contact information

Practice address
50249 CESAR CHAVEZ ST STE K, COACHELLA, CA 92236-1530
(760) 393-0555
(760) 393-0522
Mailing address
50249 CESAR CHAVEZ ST STE K, COACHELLA, CA 92236-1530
(760) 393-0555
(760) 393-0522

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101395
CA
101YM0800X
Mental Health Counselor
101395
CA
1041C0700X
Clinical Social Worker

Other

Enumeration date
10/25/2021
Last updated
09/24/2024
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