| Angelique Mary Poncelet, LPC | |
|
1753 Sidewinder Dr # S200, Park City, UT 84060-7258 | |
| (435) 649-9079 | |
| Not Available |
| Full Name | Angelique Mary Poncelet |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1753 Sidewinder Dr # S200, Park City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467775882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6822558-6004 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique Mary Poncelet, LPC 1753 Sidewinder Dr # S200, Park City, UT 84060-7258 Ph: (435) 649-9079 | Angelique Mary Poncelet, LPC 1753 Sidewinder Dr # S200, Park City, UT 84060-7258 Ph: (435) 649-9079 |
Margaret Ann Tan I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1753 Sidewinder Dr, Park City, UT 84060 Phone: 435-649-8347 | |
Mr. Archibald Wright Iii, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3086 Fawn Dr, Park City, UT 84098 Phone: 435-776-6862 | |
Shannon Weaver, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Pinebrook Rd Ste 1250b, Park City, UT 84098 Phone: 801-631-7476 | |
Dr. Thomas Roger Peay, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2559 Aspen Springs Dr, Park City, UT 84060 Phone: 801-376-8775 Fax: 435-604-0461 | |
Amy Adair Bingham, Counselor Medicare: Medicare Enrolled Practice Location: 1753 Sidewinder Dr # 200, Park City, UT 84060 Phone: 435-649-8347 | |
Kirstyn Besch, MA, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1283 Deer Valley Dr, Park City, UT 84060 Phone: 385-355-4338 | |
Rowlin Busch, MED, LPC, CMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Matterhorn Dr, Park City, UT 84098 Phone: 970-708-7781 |