Individual
LEONOR GRISEL BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 AV. DE LA CONSTITUCION, SAN JUAN, PR 00912
(787) 721-5393
Mailing address
EDIFICIO VIG TOWER, PISO 1 AVE. PONCE DE LEON # 1225, SAN JUAN, PR 00936
(788) 764-1913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16896
PR
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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