Individual
MRS. NELLYNNETTE ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1007 AVE MUNOZ RIVERA, 304 COND. DARLINGTON, SAN JUAN, PR 00925-2717
(787) 930-3029
Mailing address
PO BOX 678, YABUCOA, PR 00767-0678
(787) 930-3029
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3724
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421
APS
PR
Enumeration date
09/17/2010
Last updated
09/17/2010
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