Individual
MISS BETHANY M PONGRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
800 CUMMINGS CTR, SUITE 266T, BEVERLY, MA 01915-6175
(978) 921-1190
(978) 927-3724
Mailing address
800 CUMMINGS CTR, SUITE 266T, BEVERLY, MA 01915-6175
(978) 921-1190
(978) 927-3724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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