Individual provider · Type 1 NPI
Tracey Portentoso
Mental Health Counselor · Mashpee, MA
NPI number
1477924637
Active
Practice location
16 Terry Ave
Mashpee, MA 02649-4923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1477924637
Tracey Portentoso's National Provider Identifier is 1477924637, issued on Oct 14, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mashpee, MA. The record was last updated on Oct 14, 2015.