NPI Profile for STEPHANIE H PONTTI in FREEPORT, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counselor |
101Y00000X |
| NPI # | 1215994090 |
|
| Status | Active | |
| Credentials | LCPC (Licensed Clinical Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 04/27/2006 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHANIE H PONTTI
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