Individual provider · NPI-1

Javier Eugenio Cancel, TAC, PhD-C

Counselor, Addiction (Substance Use Disorder) · Guaynabo, PR

NPI number1780978411

StatusActive

Last updated in NPPESMay 28, 2011

Details

NPI: 1780978411
Entity type: Individual (NPI-1)
Name: Javier Eugenio Cancel
Credential: TAC, PhD-C
Sex: Male
Sole proprietor: Yes
Enumeration date: May 28, 2011
Last updated: May 28, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YA0400X	Counselor, Addiction (Substance Use Disorder)	TAC-III-05-20-0332	PR	Yes

Practice location

O1 Calle Acropolis
Apolo
Guaynabo, PR 00969-4918

Phone 787-438-6749

Mailing address

O1 Calle Acropolis
Apolo
Guaynabo, PR 00969-4918

Phone 787-438-6749

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