Individual
AVELINA C SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC, CADTP.
Contact information
Practice address
976 LENZEN AVE, SAN JOSE, CA 95126-2737
(408) 792-3720
Mailing address
111 N 12TH ST APT 1, SAN JOSE, CA 95112-3437
(808) 450-0428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14391
CA
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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