Tracey Portentoso
NPI #1477924637 in Mashpee, Massachusetts
Provider Information
- NPI Number
- 1477924637
- Entity Type
- Individual
- Name
- Tracey Portentoso
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 14, 2015
- Last Updated
- Oct 14, 2015
Practice Location
- Address
- 16 TERRY AVE
- City
- Mashpee
- State
- Massachusetts
- ZIP Code
- 02649-4923
- Phone
- (774) 238-9988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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