Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YP2500X | Professional Counselor | ||
Y | 1041C0700X | Clinical Social Worker | 10254 | PR |
NPI | 1003272394 |
---|---|
Provider Name | Mrs. Yanira Pizarro |
First Address | Bayamon, PUERTO RICO 00960 |
Second Address | Barceloneta, PR 00617-2884 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2016 |
Last Update Date | 03/01/2016 |