| Andrew Sovannak Ponn, | |
|
594 Yankee Boy Loop, Elizabeth, CO 80107-8688 | |
| (720) 383-3419 | |
| Not Available |
| Full Name | Andrew Sovannak Ponn |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 594 Yankee Boy Loop, Elizabeth, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457299240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPCC.0023260 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Sovannak Ponn, 594 Yankee Boy Loop, Elizabeth, CO 80107-8688 Ph: (720) 383-3419 | Andrew Sovannak Ponn, 594 Yankee Boy Loop, Elizabeth, CO 80107-8688 Ph: (720) 383-3419 |
Allison Pusbach, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E. Walnut, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 970-522-4211 | |
Tamara Mcnay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E. Walnut, Unit C, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 303-646-4451 | |
Shannon Theobald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 795 E Kiowa Ave Unit 1471, Elizabeth, CO 80107 Phone: 720-952-7103 | |
John Duhamel, CAC II, LPC Counselor Medicare: Medicare Enrolled Practice Location: 650 E. Walnut St, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 970-522-4211 | |
Brittany Razee-erosky, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32285 Legacy Ridge St, Elizabeth, CO 80107 Phone: 303-345-7589 | |
Emily Benson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37528 Tarie Trl, Elizabeth, CO 80107 Phone: 720-289-3369 | |
Theresa Michel Jensen, LPN CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 East Walnut, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 970-522-4211 |