| Ponciano Counseling And Wellness, Llc | |
|
13228 Executive Park Ter Germantown MD 20874-2640 | |
| (240) 489-1108 | |
| (240) 474-0068 |
| Full Name | Ponciano Counseling And Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13228 Executive Park Ter, Germantown, Maryland |
| Authorized Official Name and Position | Ingrid Ponciano (OWNER) |
| Authorized Official Contact | 2404891108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponciano Counseling And Wellness, Llc 13228 Executive Park Ter Germantown MD 20874-2640 Ph: (240) 489-1107 | Ponciano Counseling And Wellness, Llc 13228 Executive Park Ter Germantown MD 20874-2640 Ph: (240) 489-1108 |
| NPI Number | 1457828105 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457828105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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