Individual
EDNA SARANIL ALONSO-ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
LOPEZ HORMAZABAL ST. 16, JUNCOS, PR 00777
(787) 637-0763
Mailing address
PO BOX 274, JUNCOS, PR 00777-0274
(787) 637-0763
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4383
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4383
PROFESSIONAL COUNSELOR LICENSE
PR
Enumeration date
03/27/2019
Last updated
03/27/2019
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