Individual
JACKELINE REBOLLO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
TERRENOS DE SAN LUCAS, CARR 14, PONCE, PR 00780
(787) 628-9163
Mailing address
URB SANTAMERICA CALLE MICHIGAN APT 15014, APT 121, PONCE, PR 00780
(787) 628-9163
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
1787
PR
Other
Enumeration date
11/17/2021
Last updated
03/15/2024
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