Individual
GLENDA RAQUEL PEREZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDA.
Contact information
Practice address
117 CALLE BAHIA, CABO ROJO, PR 00623-8942
(787) 642-2581
Mailing address
117 CALLE BAHIA, CABO ROJO, PR 00623-8942
(787) 642-2581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4514
PR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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