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Individual
JAVIER EUGENIO CANCEL
Active
Individual
JAVIER EUGENIO CANCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TAC, PHD-C
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TAC-III-05-20-0332
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TAC-III-05-20-0332
THERAPEUTIC ADDICTION COUNSELOR III
PR
Enumeration date
05/28/2011
Last updated
05/28/2011
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