Individual
JUAN SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 HARBOR TER, PERTH AMBOY, NJ 08861-4817
(732) 857-1170
Mailing address
14 HARBOR TER, PERTH AMBOY, NJ 08861-4817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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