Organization
ELLEN I KOSKI-PONTON
Active
Other names
AWES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN IRENE KOSKI-PONTON PH.D. (OWNER)
(704) 282-5006
Entity
Organization
Contact information
Practice address
202 N STEWART ST, MONROE, NC 28112-4767
(704) 282-5006
(704) 635-8863
Mailing address
4610 NESBIT RD, MONROE, NC 28112-7535
(704) 282-5006
(704) 635-8863
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
553
NC
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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