Yolanda Amber Ponder, LCSW

NPI #1568743359 in Caldwell, Idaho

Provider Information

NPI Number: 1568743359
Entity Type: Individual
Name: Yolanda Amber Ponder, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Credential: LCSW
Enumeration Date: Sep 7, 2011
Last Updated: Feb 3, 2021

Practice Location

Address: 310 CLEVELAND BLVD
City: Caldwell
State: Idaho
ZIP Code: 83605-3624
Phone: (208) 954-0597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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