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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACIELA PONCE, LPCC

Active

GRACIELA PONCE, LPCC is a Professional Counselor healthcare provider located in LA MESA, New Mexico. NPI 1205545662 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LA MESA, NM

Registration Details

NPI Number
1205545662
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2022 (3.7257579415551 yrs)
Last Updated
Oct 29, 2024
Licenses
CMH0204121 (NM)
CTB-2024-0609 (NM)

Practice Information

Address
18420 S HIGHWAY 28
LA MESA, NM, 880449605
Browse NM providers · Browse ZIP 88044
Phone
5752333830
Fax
5752334542
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in LA MESA, NM

Name Credential NPI
CAMILLE CISNEROZ PH D 1922372770
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.