Individual provider · Type 1 NPI
Angelique Mary Poncelet, LPC
Professional Counselor · Park City, UT
NPI number
1467775882
Active
Practice location
1753 Sidewinder Dr # S200
Park City, UT 84060-7258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6822558-6004 (UT) |
Professional Counselor: Definition to come...
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About NPI 1467775882
Angelique Mary Poncelet, LPC's National Provider Identifier is 1467775882, issued on Mar 12, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Park City, UT. The record was last updated on Mar 12, 2010.