Stephanie Ponczek, MA, LMFT | |
301 Scott Ave, Morgantown, WV 26508-8804 | |
(814) 659-6900 | |
Not Available |
Full Name | Stephanie Ponczek |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 301 Scott Ave, Morgantown, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528788205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 25 (West Virginia) | Primary |
Entity Name | Regenesis Organization Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194710426 PECOS PAC ID: 8022928001 Enrollment ID: O20050127000120 |
Mailing Address | Practice Location Address |
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Stephanie Ponczek, MA, LMFT 8158 Lightner Ave, Stonewood, WV 26301-7758 Ph: (814) 659-6900 | Stephanie Ponczek, MA, LMFT 301 Scott Ave, Morgantown, WV 26508-8804 Ph: (814) 659-6900 |
Brittney Matlick, MS, LPC, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 235 High St, Morgantown, WV 26505 Phone: 681-285-1133 | |
Kayla Marie Siefert I, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2000 Coombs Farm Rd Ste 106, Morgantown, WV 26508 Phone: 304-381-2211 | |
Jaclyn Nicole Ketchem, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1005 White Willow Way, Morgantown, WV 26505 Phone: 304-212-7238 |