Individual
JOEL JOSE SEDA OLMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 111 KM 24.0 INT. BO. PIEDRAS BLANCAS, SAN SEBASTIAN, PR 00685
(787) 313-1524
Mailing address
PO BOX 6206, MAYAGUEZ, PR 00681-6206
(787) 313-1524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05201358
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4125130
LICENSE
PR
05
—
4125130
—
PR
Enumeration date
05/21/2021
Last updated
05/21/2021
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