Individual
MS. SHERYLLEE TAMIKO PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., MFT
Contact information
Practice address
4272 RICE ST STE C, LIHUE, HI 96766-1818
(808) 651-0937
Mailing address
4272 RICE ST STE C, LIHUE, HI 96766-1818
(808) 651-0937
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
141
HI
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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