ANGELIQUE MARY PONCELET LPC NPI 1467775882

NPI Information

NPI: 1467775882
Provider Name: ANGELIQUE MARY PONCELET, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1753 SIDEWINDER DR # S200
PARK CITY, UT
ZIP 84060
Phone: (435) 649-9079
Get Directions

Angelique Mary Poncelet, LPC is a professional counselor in Park City, UT. Angelique Mary Poncelet, LPC NPI is 1467775882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1753 SIDEWINDER DR # S200
PARK CITY, UT
ZIP 84060-258
Phone: (435) 649-9079

The enumeration date for this NPI number is 3/12/2010 and was last updated on 3/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6822558-6004	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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