Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Sovannak Ponn

Individual provider Mental Health Counselor · NPI 1457299240

Andrew Sovannak Ponn is a Mental Health Counselor in Elizabeth, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2026
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Practice location Address checks out

594 Yankee Boy Loop
Elizabeth, CO 80107-8688
Phone: (720) 383-3419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPCC.0023260 (CO)

Record details

NPI number1457299240
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address594 Yankee Boy Loop, Elizabeth, CO 80107-8688

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