NPI 1003045337

Jonathan Dean Ponser, MALCPCNCC

Practitioner Professional Counselor Springfield, IL

Practice location

Address: 901 N 1st St, Springfield, IL 62702-3759
Phone: (217) 788-4065
Fax: (217) 778-8414
Mailing address: 710 N 8th St, Springfield, IL 62702-6324

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 180007267 (IL)

Other Counselor providers in Illinois →

Registry record

NPI: 1003045337
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2009
Record last updated: 8 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.