Individual
MC JASON FRIAS DE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-178
Contact information
Practice address
790 GOV CARLOS G CAMACHO RD, TAMUNING, GU 96913-3129
(671) 647-2056
Mailing address
PO BOX 9612, TAMUNING, GU 96931-5612
(671) 747-2132
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-178
GU
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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