Individual
ALLYSSA NICOLE PONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 782-6460
Mailing address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 782-6460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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