Individual
KEVIN TIRADO FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPL
Contact information
Practice address
611 CALLE FRAGATA, ISABELA, PR 00662-2133
(787) 517-5312
Mailing address
611 CALLE FRAGATA, ISABELA, PR 00662-2133
(787) 517-5312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
962
PR
101YP2500X
Professional Counselor
0291
PR
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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