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Tracey Portentoso
Mental Health Counselor in Mashpee, Massachusetts
NPI 1477924637

Tracey Portentoso is a Mental Health Counselor based in Mashpee, MA and is specialized in Mental Health. Tracey Portentoso practices in Mashpee, MA. The NPI Number for Tracey Portentoso is 1477924637 and holds a License No. (Massachusetts).

The current practice location address for Tracey Portentoso is 16 Terry Ave, Mashpee, MA and can be reached out via phone at 774-238-9988.

Location: 16 Terry Ave, Mashpee, MA, 02649-4923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477924637
Provider Name
Tracey Portentoso
Credential
Provider Entity Type
Individual
Gender
Female
Address
16 Terry Ave, Mashpee, MA, 02649-4923
Phone Number
774-238-9988
Fax Number
Provider Enumeration Date
10/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16 Terry Ave
City
Mashpee
State
Massachusetts
Zip
02649-4923
Phone Number
774-238-9988
Fax Number
person
Provider Business Mailing Address Details
Address
16 Terry Ave
City
Mashpee
State
Massachusetts
Zip
02649-4923
Phone Number
774-238-9988
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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