JOE RONALDSON MA
NPI 1871801779
Counselor - Mental Health in Pontiac, IL
Active since September 14, 2010
About Joe Ronaldson Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOE RONALDSON MA (NPI 1871801779) is an individual mental health provider in Pontiac, Illinois and active in the NPI registry since September 2010.
NPPES Registry Identity
NPI1871801779
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOE RONALDSONCredential: MA
Location Address310 E TORRANCE AVEPontiac, IL 61764-2748
Mailing AddressPo Box 768Pontiac, IL 61764-0768 · (815) 844-6109 · Fax (815) 844-3561
Phone(815) 844-6109
Fax(815) 844-3561
Sole ProprietorYes
Enumeration DateSeptember 14, 2010
✔ NPI 1871801779 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
310 E TORRANCE AVE, Pontiac, IL 61764
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871801779, enumerated as an "individual" on September 14, 2010.
The provider is located at 310 E TORRANCE AVE PONTIAC, IL 61764 and the phone number is (815) 844-6109.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
