Organization
SUSAN A. PONTON THERAPIST INC
Active
Organization
SUSAN A. PONTON THERAPIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ALLEN PONTON LPC (LICENSE PROFESSIONAL COUNSELOR)
(434) 447-7447
Entity
Organization
Contact information
Practice address
501 N MECKLENBURG AVE, SOUTH HILL, VA 23970-2024
(434) 447-7447
(434) 447-3057
Mailing address
PO BOX 809, SOUTH HILL, VA 23970-0809
(434) 447-7447
(434) 447-3057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701003560
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010030692
—
VA
Enumeration date
06/20/2008
Last updated
06/20/2008
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