Ponciano, Ingrid Faviola
Ponciano, Ingrid Faviola is an sole proprietor health care provider with primary practice located at 16031 Comprint Cir , Gaithersburg MD 20877-1320. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ponciano, Ingrid Faviola can be contacted via phone (240) 489-1108.Contact Information
Primary practice address
16031 Comprint Cir
Gaithersburg MD 20877-1320
Phone: (240) 489-1108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LCM637 | Maryland |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCM637 | Maryland |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LCM637 | Maryland |
Profile Details
| NPI number | 1114230703 |
|---|---|
| LBN Legal business name | Ponciano, Ingrid Faviola |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2010 |
| Last updated | Oct 31st, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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