Individual
JOSE R FELICIE-MEJIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
AVE IRLANDA HTS, FM 17 SIRIO, BAYAMON, PR 00956-5359
(939) 717-3235
Mailing address
1776 CONTINENTAL DR UNIT 109, COVINGTON, LA 70433-7279
(939) 717-3235
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2971
PR
171M00000X
Case Manager/Care Coordinator
Primary
15713
LA
Other
Enumeration date
01/06/2014
Last updated
03/07/2021
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