Most Relevant Information
Provider Data
| NPI Number: | 1003570243 |
| Provider Name: | EVELYN PONCE RANGEL MSW, ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 101395 |
Most Important Dates
| Enumeration Date: | 10/25/2021 |
| Last Updated: | 09/24/2024 |
Provider Practice Location
50249 CESAR CHAVEZ ST STE K
COACHELLA
CA
922361530
Practice Location Phone/Fax
| Phone: | 7603930555 |
| Fax: | 7603930522 |
Provider Mailing Location
50249 CESAR CHAVEZ ST STE K
COACHELLA
CA
922361530
Provider Mailing Phone/Fax
| Phone: | 7603930555 |
| Fax: | 7603930522 |