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Individual
BRUCE LUIS SANTIAGO
Active
Individual
BRUCE LUIS SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC0014771
CO
101YM0800X
Mental Health Counselor
MH14036
FL
Other
Enumeration date
09/22/2006
Last updated
12/05/2024
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