Individual
MARILISSA DE JESUS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 44 BOX 12949, CAYEY, PR 00736-9715
(939) 316-5293
Mailing address
HC 44 BOX 12949, CAYEY, PR 00736-9715
(939) 316-5293
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
8699
PR
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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