Individual
COLIN ELLIOT POULTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(917) 847-1914
Mailing address
15 WALBRIDGE ST APT 35, ALLSTON, MA 02134-3815
(309) 824-6787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
06/18/2024
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