Individual
AUSTIN VENEGAS PONCE'
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2718 VERA CRUZ DR, VILLA HILLS, KY 41017-1035
(513) 616-8774
Mailing address
2718 VERA CRUZ DR, VILLA HILLS, KY 41017-1035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130975
OH
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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