Individual
YASMIN NANCY PONCE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 236-4511
(860) 297-0591
Mailing address
1107 FARMINGTON AVE, WEST HARTFORD, CT 06107-2117
(860) 521-8877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
03/24/2014
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