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Individual

MR. JORGE M SANTAELLA

Active
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Individual

MR. JORGE M SANTAELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.010954
IL
101YM0800X
Mental Health Counselor
Primary
MH16047
FL
101YP2500X
Professional Counselor
180.010954
IL

Other

Enumeration date
06/27/2013
Last updated
05/31/2018
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