Individual
JACKELINE CARABALLO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
URB COCOBEACH 210, CALLE MANATI, RIO GRANDE, PR 00745
(787) 516-6607
Mailing address
URB COCOBEACH 210 CALLE MANATI, CALLE MANATI, RIO GRANDE, PR 00745
(787) 516-6607
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
6187
PR
103TC1900X
Counseling Psychologist
Primary
6187
RI
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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