Individual
JEANNA MARIE GONZALEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA 787 BARRIO BAYAMONCITO, CIDRA, PR 00739
(787) 739-5555
Mailing address
66 PASEOS DORADOS, CAYEY, PR 00736-3167
(787) 669-5465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TACIII05208909
PR
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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