IndividualActive
Angelique Poncelet, LPC
NPI 1467775882 · Professional Counselor · Park City, UT
Provider details
- NPI number
- 1467775882
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 6822558-6004 (UT)
Practice location
1753 Sidewinder Dr # S200
Park City, UT 84060-7258
Phone: (435) 649-9079
Mailing address
1753 Sidewinder Dr # S200
Park City, UT 84060-7258
Registry dates
- Enumerated
- 2010-03-12
- Last updated
- 2010-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.