Individual
JAIME MARCHENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
CARR 901 KM 1.6, BO JUAN MARTIN, YABUCOA, PR 00767
(787) 739-8182
Mailing address
PO BOX 2117, FAJARDO, PR 00738-2117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1372
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1372
—
PR
Enumeration date
03/28/2019
Last updated
06/11/2019
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