NPI | 1831506476 |
---|---|
Professional Name | JUAN CARLOS CORDERO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 002740) |
Additional Taxonomies | 101YP2500X Counselor Professional |
101YM0800X Counselor Mental Health (Licence: PR 002740) | |
103TC0700X Psychologist Clinical (Licence: PR 2740) | |
Enumeration Date | 2014-07-15 |
Last Update Date | 2023-12-21 |