person
Mrs. Susan Allen Ponton
Mental Health Counselor in South Hill, Virginia
NPI 1588672893

Susan Allen Ponton is a Mental Health Counselor based in South Hill, VA and is specialized in Mental Health. Susan Allen Ponton practices in South Hill, VA. The NPI Number for Susan Allen Ponton is 1588672893 and holds a License No. 0701003560 (Virginia).

The current practice location address for Susan Allen Ponton is 501 N Mecklenburg Ave, South Hill, VA and can be reached out via phone at 434-447-7447 and via fax at 434-447-3057.

Location: 501 N Mecklenburg Ave, South Hill, VA, 23970-0809
person
Provider Profile Details
NPI Number
1588672893
Provider Name
Susan Allen Ponton
Credential
Provider Entity Type
Individual
Gender
Female
Address
501 N Mecklenburg Ave, South Hill, VA, 23970-0809
Phone Number
434-447-7447
Fax Number
434-447-3057
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010030692 05 VA
54-1977426 01 VA FEIN (SUB-S )
86353M 01 VA SENTARA PROVIDER NUMBER
104658 01 VA ANTHEM PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
501 N Mecklenburg Ave
City
State
Zip
23970-2024
Phone Number
434-447-7447
Fax Number
434-447-3057
person
Provider Business Mailing Address Details
Address
501 N Mecklenburg Ave
City
State
Zip
23970-2024
Phone Number
434-447-7447
Fax Number
434-447-3057
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701003560 (Virginia)
Definition
Definition to come...
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