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Individual
MR. ERIBERTO SANTOS
Active
Individual
MR. ERIBERTO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, CAC, NOTARY
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1424
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1424
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
CT
01
—
5956
CONNECTICUT CERTIFICATIONS BOARD
CT
Enumeration date
09/06/2018
Last updated
06/27/2024
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