Individual
JAMELA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 LEON GUERRERO DRIVE, TUMON, GU 96913
(671) 646-5748
Mailing address
104 FEDERICO ST, MANGILAO, GU 96913-5768
(671) 646-5748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-123
GU
106H00000X
Marriage & Family Therapist
IMF-123
GU
Other
Enumeration date
06/28/2013
Last updated
12/08/2021
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