Individual
MS. AMY KATHLEEN KEUCHER PONTERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LPC, LCA
Contact information
Practice address
2505 SE 11TH AVE STE 222, PORTLAND, OR 97202-1062
(971) 235-4950
Mailing address
2505 SE 11TH AVE STE 222, PORTLAND, OR 97202-1062
(971) 235-4950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1556
OR
Other
Enumeration date
10/19/2006
Last updated
02/26/2024
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