Individual
BARBARA R PONSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LMFT
Contact information
Practice address
655 S DUNSMUIR AVE APT 201, LOS ANGELES, CA 90036-4087
(818) 515-0231
Mailing address
655 S DUNSMUIR AVE APT 201, LOS ANGELES, CA 90036-4087
(818) 515-0231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT12334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MF12334
CA BBSC
CA
01
—
MFT12334
CA BBSC
CA
Enumeration date
06/15/2020
Last updated
06/15/2020
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