Individual
MRS. JOAN IVELISSE ROSADO VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC
Contact information
Practice address
BO GARZAS, CARR 10 KM 0.4, ADJUNTAS, PR 00601
(787) 967-8483
Mailing address
HC 6 BOX 4286, PONCE, PR 00780-9515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAT-IV-41575
PR
225C00000X
Rehabilitation Counselor
Primary
1632
PR
Other
Enumeration date
02/13/2019
Last updated
07/16/2019
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