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Individual

KATHIA NICOLE OCASIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
URB TULIPAN ST JUAN KEPPLER 476, SAN JUAN, PR 00926
(787) 402-7762
Mailing address
URB TULIPAN ST JUAN KEPPLER 476, SAN JUAN, PR 00926
(787) 402-7762

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4607
PR
103TC0700X
Clinical Psychologist
Primary
8218
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50443585
DRIVERS LICENSE
PR
Enumeration date
06/09/2022
Last updated
06/17/2025
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