Individual
MRS. STEPHANIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
BB3 CALLE JASMIN, URB JARDINES DE RUSSE, MOROVIS, PR 00687
(787) 862-3000
(787) 862-2731
Mailing address
PO BOX 284, MOROVIS, PR 00687-0284
(787) 862-3000
(787) 862-2731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1368
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXX-XX-5854
COUNSELING
—
05
—
XXX-XX-5854
—
PR
Enumeration date
07/22/2019
Last updated
07/22/2019
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