Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1619563236 |
| LBN Legal business name | ALCON COUNSELING & WELLNESS SERVICES LLC |
| Authorized official | ORQUIDEA BURGOS-JIMENEZ - (MENTAL HEALTH COUNSELOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/17/2020 |
| Last updated | 12/17/2020 - About 5 years ago |
| Identifiers | n/a |
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