Individual
AMPARO PONCE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Mailing address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
98244
CA
1041C0700X
Clinical Social Worker
98244
CA
Other
Enumeration date
03/21/2022
Last updated
06/22/2023
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