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Individual

CHRISTIAN OMAR FURSETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
URB . VISTA VERDE CALLE 9 # 552, AGUADILLA, PR 00605
(787) 391-0890
Mailing address
PO BOX 250105, AGUADILLA, PR 00604
(787) 391-0890

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PR
103TC1900X
Counseling Psychologist
Primary
PR
103TF0000X
Family Psychologist
PR
106H00000X
Marriage & Family Therapist

Other

Enumeration date
04/20/2016
Last updated
04/20/2016
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