Individual
TASHA ROSE PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
3227 WALTER DR STE 3B, JOHNS ISLAND, SC 29455-8171
(843) 872-5454
Mailing address
3227 WALTER DR STE 3B, JOHNS ISLAND, SC 29455-8171
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT7011
SC
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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