Individual
MRS. GRETCHEN NICOLE CASILLAS CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.M.
Contact information
Practice address
416 AVE PONCE DE LEON STE 1500, SAN JUAN, PR 00918-3420
(787) 248-0486
Mailing address
718 CALLE CIPRES, SAN JUAN, PR 00924-5115
(787) 248-0486
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6190
PR
103TC1900X
Counseling Psychologist
Primary
6190
PR
Other
Enumeration date
01/18/2019
Last updated
10/08/2025
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