Individual
JORGE PONCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2000 W MARINE VIEW DR BLDG 2000, EVERETT, WA 98207-2111
(425) 304-4697
Mailing address
3958 85TH AVE NE, MARYSVILLE, WA 98270-7105
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810008003
VA
Other
Enumeration date
08/30/2021
Last updated
07/09/2025
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