Individual
ANTONIETA PONCEDELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT INTERN
Contact information
Practice address
100 E. WARDLOW RD., LONG BEACH, CA 90807
(562) 427-6818
(562) 427-3367
Mailing address
100 E. WARDLOW RD., LONG BEACH, CA 90807
(526) 427-6818
(562) 427-3367
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT109100
CA
Other
Enumeration date
02/22/2007
Last updated
11/08/2018
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