Organization
POWERFULL MINDS COACH II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JIMENEZ (PRESIDENT)
(787) 546-7930
Entity
Organization
Contact information
Practice address
CARR PR 417 KM 0.5 AVE NATIVO ALERS, DESVIO SUR BO ASOMANTE, AGUADA, PR 00602
(939) 319-9417
Mailing address
HC 57 BOX 9417, AGUADA, PR 00602-9828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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