Individual
LISA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
PO BOX 80261, FAIRBANKS, AK 99708-0261
(321) 300-2880
Mailing address
PO BOX 80261, FAIRBANKS, AK 99708-0261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
213694
AK
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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