Individual
GRACIELA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
18420 S HIGHWAY 28, LA MESA, NM 88044-9605
(575) 233-3830
(575) 233-4542
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMH0204121
NM
101YP2500X
Professional Counselor
Primary
CTB-2024-0609
NM
Other
Enumeration date
11/15/2022
Last updated
10/29/2024
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