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Individual
PROF. JUAN CARLOS SANTANA
Active
Individual
PROF. JUAN CARLOS SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3680
PR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.161589
MA
103TC1900X
Counseling Psychologist
3680
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
CCA
MA
01
—
1134107113
NHP
MA
01
—
12529
HNE
MA
05
—
1307576
—
MA
01
—
71756
TUFTS
MA
01
—
997303
NETWORK HEALTH
MA
Enumeration date
09/23/2013
Last updated
06/15/2026
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