Individual
ANA LISETTE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1400 K ST STE B, MODESTO, CA 95354-1018
(209) 550-5869
(209) 523-0442
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 550-5869
(209) 523-0442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
90487
CA
Other
Enumeration date
09/18/2007
Last updated
12/02/2015
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