Individual
MS. JENISSE MARIE MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE DR BASORA 55-N, EDIFICIO MEDICO IV 201, MAYAGUEZ, PR 00682
(787) 265-5583
Mailing address
ALTURAS DE MAYAGUEZ, 1900 CALLE LALIZA, MAYAGUEZ, PR 00682
(787) 909-7534
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7824
PR
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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