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NPI Profile for GLENDA R PEREZ DOMINGUEZ in CABO ROJO, PR.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X | |||
School |
101YS0200X |
| NPI # | 1316739360 |
|
| Status | Active | |
| Credentials | LCDA. | |
| Entity | Individual | |
| Enumeration date | 05/17/2025 | |
| Last updated | 05/17/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GLENDA R PEREZ DOMINGUEZ
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GLENDA R PEREZ DOMINGUEZ, LCDA.