Individual
AMARILLIS YADIRA VAZQUEZ MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, BC-DMT
Contact information
Practice address
950 CARR 189 STE 2, GURABO, PR 00778-5179
(787) 925-2515
Mailing address
PO BOX 6060, CAGUAS, PR 00726-6060
(787) 925-2515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004163
PR
Other
Enumeration date
03/13/2024
Last updated
04/09/2024
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