Individual
AMANDA PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8004 NW 154TH ST UNIT 418, MIAMI LAKES, FL 33016-5814
(305) 530-8119
Mailing address
8312 W 14TH AVE, HIALEAH, FL 33014-3454
(305) 781-6835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH25180
FL
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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