Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6013 | PR |
NPI | 1003465295 |
---|---|
Provider Name | Mariel Adorno |
First Address | Arecibo, PR 00612 |
Second Address | Arecibo, PR 00612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2019 |
Last Update Date | 03/07/2020 |