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Individual
JENNIFER A PONTILLO
Active
Individual
JENNIFER A PONTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5448
MA
101YM0800X
Mental Health Counselor
MHC00267
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021740
NHP/BEACON-GROUP NUMBER
—
01
—
1073750
NEIGHBORHOOD OF RI
RI
01
—
12398397
MULTIPLAN
—
01
—
31117-1
BLUE CROSS/SHIELD
—
01
—
413171
BLUE CHIP
RI
01
—
62-38609
UNITED
RI
01
—
83125900
MAGELLAN
—
05
—
JM5906
—
RI
Enumeration date
07/31/2006
Last updated
12/30/2024
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