Individual
GRETCHEL J SANTIAGO-JHAVERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 AVE LAUREL, BAYAMON, PR 00956-4816
(787) 338-8383
Mailing address
BUENA VISTA VILLAGE, CARR 844 APT 1221, SAN JUAN, PR 00926
(939) 308-3232
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
6142
PR
103TC1900X
Counseling Psychologist
Primary
6142
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6142
6142
—
Enumeration date
08/10/2020
Last updated
08/10/2020
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