Provider Demographics
NPI:1811050362
Name:PONT, DANIEL AARON (LMFT, LPC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:AARON
Last Name:PONT
Suffix:
Gender:M
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 E KENDRICK ST
Mailing Address - Street 2:PO BOX 81
Mailing Address - City:RAWLINS
Mailing Address - State:WY
Mailing Address - Zip Code:82301-4432
Mailing Address - Country:US
Mailing Address - Phone:307-321-0307
Mailing Address - Fax:309-401-6329
Practice Address - Street 1:822 E KENDRICK ST
Practice Address - Street 2:
Practice Address - City:RAWLINS
Practice Address - State:WY
Practice Address - Zip Code:82301-4432
Practice Address - Country:US
Practice Address - Phone:307-321-0307
Practice Address - Fax:309-401-6329
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-954101YP2500X
WYLMFT-039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist