person
Angelique Mary Poncelet, LPC
Professional Counselor in Park City, Utah
NPI 1467775882

Angelique Mary Poncelet is a Professional Counselor based in Park City, UT and is specialized in Professional. Angelique Mary Poncelet practices in Park City, UT and has the professional credentials of LPC. The NPI Number for Angelique Mary Poncelet is 1467775882 and holds a License No. 6822558-6004 (Utah).

The current practice location address for Angelique Mary Poncelet is 1753 Sidewinder Dr # S200, Park City, UT and can be reached out via phone at 435-649-9079. You can also correspond with Angelique Mary Poncelet through the mailing address at 1753 SIDEWINDER DR # S200, PARK CITY, UT - 84060-7258 (mailing address contact number: 435-649-9079).

Location: 1753 Sidewinder Dr # S200, Park City, UT, 84060-7258
person
Provider Profile Details
NPI Number
1467775882
Provider Name
Angelique Mary Poncelet
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1753 Sidewinder Dr # S200, Park City, UT, 84060-7258
Phone Number
435-649-9079
Fax Number
Provider Enumeration Date
03/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1753 Sidewinder Dr # S200
City
State
Zip
84060-7258
Phone Number
435-649-9079
Fax Number
person
Provider Business Mailing Address Details
Address
1753 Sidewinder Dr # S200
City
State
Zip
84060-7258
Phone Number
435-649-9079
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6822558-6004 (Utah)
Definition
Definition to come...
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