Individual
MR. JEFF WAYNE PONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4300 SILVER AVE SE STE F, ALBUQUERQUE, NM 87108-2748
(505) 255-1804
Mailing address
621 WALTER ST, ALBUQUERQUE, NM 87102
(505) 918-7955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0170131
NM
Other
Enumeration date
04/08/2014
Last updated
10/24/2017
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