Individual
LISSETE TOLENTINO MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 60 BOX 42725, SAN LORENZO, PR 00754-9073
(939) 267-3883
Mailing address
HC 60 BOX 42725, SAN LORENZO, PR 00754-9073
(939) 267-3883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAADC-05-20-8710
PR
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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