Poncelet, Angelique Mary
Poncelet, Angelique Mary is an individual health care provider with primary practice located at 1753 Sidewinder Dr # S200 , Park City UT 84060-7258. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Poncelet, Angelique Mary can be contacted via phone (435) 649-9079.Contact Information
Primary practice address
1753 Sidewinder Dr # S200
Park City UT 84060-7258
Phone: (435) 649-9079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6822558-6004 | Utah |
Profile Details
| NPI number | 1467775882 |
|---|---|
| LBN Legal business name | Poncelet, Angelique Mary |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2010 |
| Last updated | Mar 12th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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