Individual
GWEN AILEEN PONTIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8283 RIVER ROAD PIKE, NASHVILLE, TN 37209-6009
(615) 356-2700
Mailing address
2206 BELMONT BLVD, NASHVILLE, TN 37212-5106
(773) 988-9220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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