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Organization

MARY Z PONCE

Active
Other names
Alevio Counseling & Evaluations
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY ZOILA PONCE PSYD (LICENSED PSYCHOLOGIST)
(210) 233-1566
Entity
Organization

Contact information

Practice address
5835 CALLAGHAN RD, SUITE 322, SAN ANTONIO, TX 78228-1125
(210) 233-1566
(210) 547-7780
Mailing address
5835 CALLAGHAN RD, SUITE 322, SAN ANTONIO, TX 78228-1125
(210) 233-1566
(210) 547-7780

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
30933
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1519050
TX
Enumeration date
01/14/2009
Last updated
09/15/2014
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