Individual
CRYSTAL PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3965 E OWENS AVE STE 180, LAS VEGAS, NV 89110-7034
(702) 331-5983
Mailing address
1316 W ADAMS AVE, LAS VEGAS, NV 89106-2842
(702) 981-2095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11119M
NV
Other
Enumeration date
05/08/2013
Last updated
04/09/2024
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