Individual
PROF. FRANK CHARLES PONZIANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.S. C.A.D.C.
Contact information
Practice address
211 WAUKEGAN RD, ST.100, NORTHFIELD, IL 60093-2757
(847) 446-2270
(847) 446-2172
Mailing address
2235 N 75TH AVE APT G, ELMWOOD PARK, IL 60707-2602
(773) 981-0620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
26662
IL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/10/2009
Last updated
12/01/2022
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