Individual
JOANNA LIZ COLON COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PSIC
Contact information
Practice address
197 BOSQUE DE LAS PALMAS, BAYAMON, PR 00956-9250
(787) 589-8043
Mailing address
197 BOSQUE DE LAS PALMAS, BAYAMON, PR 00956
(787) 589-8043
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5913
PR
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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