Cordero, Juan Carlos

Cordero, Juan Carlos is an sole proprietor health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cordero, Juan Carlos can be contacted via phone (129) 435-7375.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (129) 435-7375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002740 Puerto Rico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2740 Puerto Rico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002740 Puerto Rico

Profile Details

NPI number 1831506476
LBN Legal business name Cordero, Juan Carlos
Credentials M.S., M.A., PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2014
Last updated Dec 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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