Organization
MANY MOONS PSYCHOTHERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE H PONTTI LCPC (LICENSED CLINICAL PROFESSIONAL COUN)
(207) 504-2664
Entity
Organization
Contact information
Practice address
4 COTTAGE STREET, FREEPORT, ME 04032
(207) 504-2664
(207) 865-2004
Mailing address
4 COTTAGE STREET, FREEPORT, ME 04032
(207) 504-2664
(207) 865-2004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC2454
ME
101YP2500X
Professional Counselor
Primary
CC2454
—
Other
Enumeration date
06/07/2012
Last updated
07/21/2022
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