Individual
MRS. ANA LISETH PONCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 N CENTRAL EXPY STE 503, RICHARDSON, TX 75080-5361
(214) 531-7716
Mailing address
100 N CENTRAL EXPY STE 503, RICHARDSON, TX 75080-5361
(214) 531-7716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
113154
TX
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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