Most Relevant Information
Provider Data
| NPI Number: | 1003045337 |
| Provider Name: | JONATHAN DEAN PONSER M.A., LCPC, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180007267 |
Most Important Dates
| Enumeration Date: | 07/08/2009 |
| Last Updated: | 10/08/2013 |
Provider Practice Location
901 N 1ST ST
SPRINGFIELD
IL
627023759
Practice Location Phone/Fax
| Phone: | 2177884065 |
| Fax: | 2177788414 |
Provider Mailing Location
710 N 8TH ST
SPRINGFIELD
IL
627026324
Provider Mailing Phone/Fax
| Phone: | 2175251064 |
| Fax: | 2175251651 |