Individual
GLARIBETH PEREZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 125 KM 3, BARRIO PUEBLO, MOCA, PR 00676
(939) 496-3465
Mailing address
359 CALLE CELSO BARBOSA, BARRIO PUEBLO, MOCA, PR 00676
(939) 496-3465
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
006542
PR
103TF0000X
Family Psychologist
006442
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006542
LICENCIA
PR
Enumeration date
12/15/2023
Last updated
12/15/2023
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